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Verrucous Hyperplasia

A Common and Problematic Finding in the High-Risk Diabetic Foot

Mark Anthony Rosales Private practice, Flagstaff, AZ.

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 DPM
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Billy R. Martin Southern Arizona Veterans Affairs Medical Center, Tucson.

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David G. Armstrong Southern Arizona Veterans Affairs Medical Center, Tucson.
Department of Medicine, Manchester Royal Infirmary, University of Manchester, Manchester, England.
School of Public Health, University of Arizona, Tucson.
Scholl’s Center for Lower Extremity Ambulatory Research, Rosalind Franklin University of Medicine and Science, North Chicago, IL.

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Brent P. Nixon Southern Arizona Veterans Affairs Medical Center, Tucson.

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H. Ryan Hall Southern Arizona Veterans Affairs Medical Center, Tucson.

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Although verrucous hyperplasia may be common in high-risk insensitive feet, the literature contains little discussion on this topic. Treatment of verrucous hyperplasia is aimed primarily at reducing the causative forces. In cases that result from edema, external compression has proved to be adequate. If verrucous hyperplasia on the foot results from frictional forces, then shoe modifications with proper fit, accommodative liners, or fillers in the case of amputation are necessary. In recalcitrant cases, excision of the affected tissue with local soft-tissue or graft coverage has been successful. We describe a 56-year-old man with verrucous hyperplasia. (J Am Podiatr Med Assoc 96(4): 348–350, 2006)

Corresponding author: Mark Anthony Rosales, DPM, 8 W Columbus Ave, Flagstaff, AZ 86001.
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