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A 50-year-old obese woman complains of rough skin on the heels.
HYPERKERATOSIS OF THE HEELS
Hyperkeratosis of the Heels (HH) is exactly as it says. Some have ascribed as causative faulty walking technique, pressure and ill-fitting shoes. One study showed a high percentage in obese patients. In the past, the term Keratoderma Climactericum has been used, but I find that men and women are both affected, and women may be affected before menopause.
Clinical
Hyperkeratosis beginning laterally with potential progression to cover the entire heel is common in middle-aged patients.
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