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Types of Cases

These are some of the cases we handle at the Mr. Pies Specialist Center. We aim to share them with you to highlight the importance of foot care and to provide more knowledge about the various conditions affecting nails and feet.

Many times, neglecting timely treatment can cause chronic damage. Don't allow your feet to deteriorate or limit their beauty by using closed shoes or covering lesions with artificial nails, which can worsen the condition. Take the necessary time for your feet; they are essential for movement and support our body. Improper footwear and long hours can affect their health. Care for your feet, love them.

Plantar Hemangioma

Patient:
35-year-old female

Incident:

Lump on the plantar area of her right foot at the metatarsal level.

Symptoms:

Discomfort and pain, initially felt like a stone in her foot. Self-examination led to skin herniation.

Diagnosis and Treatment:

Physical examination and biopsy identified a plantar hemangioma (benign vascular tumor). The hemangioma was removed, and the healing process began with excellent recovery.

Onyectomy – Nail Trauma by Furniture Impact

Patient:
43-year-old female

Incident:
Trauma to the nail caused by impact with furniture, leading to immediate injury.

Symptoms:
Damage to the hyponychium (skin under the nail plate), unbearable pain, nail plate rupture, and bone exposure.

Treatment:
Complete nail removal (onychotomy), wound care, and initiation of the recovery process.

 

Diabetic Pressure Ulcer

Patient:
63-year-old diabetic male, insulin-controlled, also on metformin.

Incident:
New shoes caused a blister, leading to a localized callus (hyperkeratosis) and hematoma, forming a pressure ulcer.

Treatment:
Weekly monitoring due to high-risk status, removal of affected tissue, successful ulcer closure, and recommendation for diabetic insoles and monthly podiatry check-ups.

Plantar Wart (HPV)

Patient:
17-year-old male

Incident:
Discomfort in the sole of the foot, initially misidentified as a callus or corn by a manicurist. The patient ignored it for six months, leading to increased discomfort.
 

Diagnosis:
At Mr. Pies, the condition was identified as a plantar wart caused by the human papillomavirus (HPV), characterized by solid, grainy, or fleshy growths that can cause pain.
 

Treatment:
Podiatric treatment was conducted, successfully removing the wart within 8 days, followed by a healing process.

HPV Wart on Thumb
 

Patient:
35-year-old female
 

Incident:
Thumb wart present for over 8 years. Previous treatments with cryotherapy (nitrogen cauterization) and creams were ineffective.
 

Diagnosis:
Wart identified as caused by the human papillomavirus (HPV) at Mr. Pies chiropody center.
 

Treatment:
Initiated Dermojet treatment. After 8 days, the necrotized wart was removed, leading to proper healing.

Onychomycosis (Nail Fungus)


Patient:

26-year-old female

Incident:

Frequent nail painting since childhood without allowing nails to rest led to unnoticed fungal infection (onychomycosis). The infection worsened under nail polish, spreading rapidly. Home remedies like vinegar and mouthwash were ineffective and made the fungus more resistant.

Diagnosis and Treatment:
At Mr. Pies center, a treatment plan was initiated, leading to significant improvement in less than 8 months. Continued treatment is necessary to prevent recurrence.