文献简介

出版社:BMJ

作  者:Dishan Singh,George Bentley, Saul G Trevino

编  号:

关键字:Callosities, corns, and calluses

年  份:1996   点击量:876

文献摘要


Summary points:
 

* Corns and calluses arise from hyperkeratosis, a normal physiological response to chronic excessive pressure or friction on the skin

* They may be caused by excessive irritation from poorly fitting shoes or by abnormal pressure if there is a deformity of the foot

* Treatment should therefore not only provide symptomatic relief (such as by regular paring or using keratolytic agents) but should also alleviate the underlying mechanical cause

* Most lesions can be managed conservatively by use of sensible footwear (properly fitting shoes with low heels, soft upper, and roomy toebox) and orthoses to redistribute mechanical forces

* Surgery is rarely indicated and should be specifically aimed at correcting the abnormal mechanical stresses

要点:

*
鸡眼和老茧是由于角化过度引起的,它是长期压力过大或皮肤摩擦的正常生理反应

*当足部畸形时,他们可能由不舒适的鞋或异常压力的过度刺激引起

*治疗不仅是缓解症状(如定期削除或使用角质溶解剂),而且也应该减轻潜在的机械因素

*大多数损伤可以通过使用舒服的鞋类(正确舒适的低跟鞋、柔软的鞋面以及宽敞的脚趾区)和矫形器来进行保守治疗

*几乎无需进行手术,并且手术应该是专门针对纠正异常的机械压迫的