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Nonhealing Wounds with Verrucous Presentation in the Neuropathic Patient: A Report of Two Cases

David H. Truong Department of Orthopaedics, Geisinger Community Medical Center, Scranton, PA. Dr. Truong is now with VA North Texas Health Care System, Dallas, TX.

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 DPM, MS
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Ellianne M. Nasser Podiatric Medicine and Surgery Residency Program, Geisinger Community Medical Center, Scranton, PA.

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Verrucous skin lesions on the feet of diabetic patients in conjunction with a neuropathic foot ulcer is an uncommon incident. Currently, there are approximately 20 reported cases in the literature. Herein we report two cases of verrucous lesions superimposing a chronic diabetic ulcer. Patients failed several conservative treatments, and several biopsies were performed with inconclusive results, suggesting possible underlying verrucous carcinoma. Given the possibility of underlying malignancy, both patients were treated with wide excision, and both were negative for malignancy, thus confirming verrucous skin lesions on the feet in diabetic neuropathy. We also summarize the current literature on verrucous skin lesions on the feet in diabetic neuropathy.

Corresponding author: David H. Truong, DPM, MS, AACFAS, Division of Podiatry, Geisinger Community Medical Center, 1800 Mulberry St, Prof Building 2nd Floor, Scranton, PA 18501. (E-mail: dtruong3@outlook.com)