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Hands & Feet
Published in Richard Ashton, Barbara Leppard, Differential Diagnosis in Dermatology, 2021
Richard Ashton, Barbara Leppard
Scaling between the fourth and fifth toes on one foot may be due to a soft corn (Fig. 13.58). If you remove the surface keratin with a scalpel, you will quickly come to firmer keratin underneath just like a corn elsewhere. Soft corns are due to wearing shoes that are too tight around the toes. The problem can be explained very simply to the patient by making them stand on a piece of paper on the floor in their bare feet. Draw around the affected foot with a pencil and then put their shoe on the drawing. It will be immediately obvious that the shoe is too tight for the foot (Fig. 13.59).
Planned Compulsive Homicides
Published in Louis B. Schlesinger, Sexual Murder, 2021
On the Rorschach, CC produced many primitive responses, which indicated much internal disorganization and characterological disturbance, as illustrated by the following: “A bug that somebody stepped on. A squashed bug. The worst thing is to see the blood. I don’t see any blood, although it does look like there is blood on it. Yeah, it looks like blood.” “Explosion.” “A cancerous growth.” “A slide under a microscope. A specimen of tissue. Living tissue because of the color.”It looks like someone could have hemorrhoids, and this is a piece of toilet paper because of the color. It’s what that person was eating to make him shit like that. I don’t know what he ate. The green is spinach. The yellow is corn not digested.
Leg, foot and nail disease in the elderly
Published in Robert A. Norman, Geriatric Dermatology, 2020
M. Alam, R. K. Scher, P. I. Schneiderman
Hyperkeratotic lesions (Figures 5–8) occur focally and diffusely over bony prominences and areas of increased friction54. Hyperkeratosis is a normal reaction of the skin to internally or externally applied pressure55 and can present as a callosity, callus, or corn56. According to one definition, a callosity is a plaque caused by repeated friction or pressure; a corn is a sharply demarcated callosity over a bony prominence, especially of the hands or feet, that is painful; and a callus is a broad, diffuse hyperkeratosis under the metatarsal heads (Figures 5–8)57. Soft corns between the fourth and fifth toes may be extremely painful and accompanied by maceration and cellulitis58,59. The soles of the feet in the elderly are vulnerable owing to fat pad atrophy, asymmetric pressure load and impaired vascular supply60,61. Hyperkeratoses on the sole can erode to form ulcers, with up to 30% of leg ulcers in the elderly occurring on the foot or sole. In patients with vascular or neurologic impairment, hyperkeratoses should be debrided to see if they conceal a deep ulcer or osseous involvement54. For women especially, hyperkeratotic and other foot problems are frequently related to a lifetime of wearing shoes that are too small and narrow4,62.
A health risk assessment of heavy metals in people consuming Sohan in Qom, Iran
Published in Toxin Reviews, 2018
Mohammad Javad Mohammadi, Ahmad Reza Yari, Mojgan Saghazadeh, Soheil Sobhanardakani, Sahar Geravandi, Abolhasan Afkar, Seyedeh Zahra Salehi, Aliasghr Valipour, Hamed Biglari, Seyed Ahmad Hosseini, Babak Rastegarimehr, Mehdi Vosoughi, Yusef Omidi Khaniabadi
Arsenic is a widely distributed metalloid, occurring in soil, rock, water, and air. The production of energy from fossil fuel and smelting of non-ferrous metals are two significant industrial processes that lead to Arsenic contamination of the environment, especially as a source of atmospheric pollution. Other sources of contamination are the use of arsenical pesticides, manufacture, and wood preservatives (Järup 2003). Arsenic is also considered as a carcinogenic element for human beings because even low levels of exposure to this carcinogen could cause cancer. Thus, it has no possible beneficial metabolic functions for humans at all. A little exposure to this element causes nausea and vomiting, decreased production of white blood cells (WBCs), and red blood cells (RBCs), abdominal pain; long exposure causes the appearance of small corns on palm soles and darkening of the skin. Other effects include fever, anorexia, goiter, fluid loss, hair loss, herpes, impaired healing, headache, jaundice, keratosis, kidney and liver damage, pallor, muscle spasms, peripheral neuritis, weakness, sore throat and interference in the absorption of folic acid (Tchounwou et al. 2004, 2012). The range found for As was 100–300 µg/kg; so, the contents of as (mean and median levels) of samples were more than WHO maximum permissible limits (MPL).
Amoxicillin chewable tablets intended for pediatric use: formulation development, stability evaluation and taste assessment
Published in Pharmaceutical Development and Technology, 2021
Maria S. Synaridou, Paraskevi Kyriaki Monou, Constantinos K. Zacharis, Dimitrios G. Fatouros, Irene Panderi, Catherine K. Markopoulou
Maize starch (baby food) (Figure 1S Supplementary Material) was provided by the local market. It is one of the most abundant natural carbohydrates stored in plants (Table 1S – Supplementary Material). It has been investigated as an excipient in novel drugs for oral delivery systems and it is used as a disintegrant, filler or binder (Hartesi et al. 2016). Baby corns are just regular corns which are picked before maturing. It promotes healthy vision and stimulates digestion due to their content in fibers. Corn starch act as a source of energy and prevent low blood sugar in people with nocturnal hypoglycemia.
Perspectives of healthcare workers on factors influencing diabetes management and diabetic foot problems in Zimbabwe
Published in Journal of Endocrinology, Metabolism and Diabetes of South Africa, 2020
Oppah Kuguyo, Chengeto Muhaso, Simbarashe Nyandoro, Joconiah Chirenda, Vasco Chikwasha, Akimu C Mageza, Lovemore Gwanzura, Doreen Macherera Mukona, Alice Matimba
A common observation among respondents was that narrow toed box shoes are fashionable and worn by both men and women despite exerting pressure on different parts of the foot. Foot pressure causes foot deformities such as corns, bunions and hallux valgus (Figure 3a and b). ‘People don’t pay attention to the fit of a shoe, and when they remove their shoes at any given chance, it may indicate that they are uncomfortable and the shoes are too tight.’