Piezogenic papules

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Painful fat herniation
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Piezogenic papules
Other namesPainful fat herniation, piezogenic pedal papules
Juvenile aponeurotic fibroma[3]
TreatmentNone[3]
FrequencyCommon[1]

Piezogenic papules are protrusions of fat that form within the subcutaneous tissue of the skin.[1] They are typically found on the heels or wrists.

Signs and symptoms

They present as multiple

wrists.[2] Most are asymptomatic and pain is rare, although some may present with pain before the bumps are noticed.[3] They generally occur bilaterally and display a yellowish to skin-color.[3] They may feel soft or firm.[3][4]

Cause and risks

The bumps are caused by pressure.

Diagnosis

Diagnosis is by its appearance.

Treatment

Generally, no treatment is required.[3] They usually disappear when pressure is relieved; avoidance of prolonged standing, taping foot, compression stockings, heel cups, padding devices.[1]

Epidemiology

Piezogenic papules are relatively common; in one small population-based study, the prevalence was found to be 76%.[1] The same study found that it was not unusual to demonstrate the bumps when pressing a person's wrist.[1]

History

The term was first coined by W. B. Shelley and Rawnsley, who first described them in 1968.[5][6]

See also

  • List of cutaneous conditions

References

External links