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18 Possible Causes for Heel Pain, Malnutrition, Mucocutaneous Rash

  • Brandt Syndrome

    In congenital acrodermatitis enteropathica these lesions begin to appear after weaning is started. [1,4] History of malnutrition Malnutrition especially zinc deficiency leads[] Sever's disease usually causes pain or tenderness in one or both heels.[] Histopathologic findings are typically indistinguishable from other forms of malnutrition dermatitis.[]

  • Pemphigus Vulgaris

    Nikolsky sign (induction of blistering in normal skin or at the edge of a blister) is indicative of the disease. [5] Severe pain with chewing can lead to weight loss and malnutrition[] Here, the authors report a case of a woman who sought for treatment of generalized oral blisters and ulcers that caused severe pain.[] The adequate selection of the area to be biopsied defines if the final diagnosis will be reached, being the Achiles heel of the proper management of the patient.[]

  • Syphilis

    Symptomatic newborns with congenital syphilis are usually born premature and classic signs of the condition include marasmus (acute malnutrition), pot belly, and wrinkled[] Symptoms include low-grade fever, generalized adenopathy, headache, malaise and a mucocutaneous rash.[] Examination of the legs detects hypotonia, hyporeflexia, impaired vibratory and joint position sense, ataxia in the heel-shin test, absence of deep pain sensation, and Romberg[]

  • Syphilitic Arthritis

    . — Craniotabes, in which the flat bones of the skull undergo absorption in patches, was formerly regarded as syphilitic, but it is now known to result from prolonged malnutrition[] Secondary syphilis Secondary syphilis may present in many different ways but usually includes a localized or diffuse mucocutaneous rash and generalized nontender lymphadenopathy[] Enthesitis can involve the Achilles tendon resulting in heel pain. [3] Not all affected persons have all the manifestations.[]

  • Postherpetic Neuralgia

    Peptic ulcer has been linked to immunological dysfunctions and malnutrition, both of which are predictors of postherpetic neuralgia.[] Chronic varicella zoster is defined as an atypical mucocutaneous wart-like or ulcerative VZV infection, persisting for at least 1 month, mainly occurring in patients who are[] Heterogeneity in clinical trial design and size is a frequent Achilles' heel of a meta-analytic approach.[]

  • Acrodermatitis Continua of Hallopeau

    (abnormally low levels of calcium in the blood) Kidney damage Liver damage Malabsorption (in which your gastrointestinal tract doesn't absorb nutrients sufficiently) and malnutrition[] Secondary syphilis manifests primarily as mucocutaneous rash in association with vague constitutional symptoms, diffuse lymphadenopathy, and highly infectious skin lesions[] It may be painful. The pustules dry up and turn a brown colour and then gradually diminish.[]

  • Jarisch Herxheimer Reaction

    Malnutrition always causes lowered resistance and it is safe to say that no person ever suffers from “infections” and “contagions” who has been adequately nourished.[] ., manifestations that include, but are not limited to, skin rash, mucocutaneous lesions, and lymphadenopathy), or tertiary syphilis (i.e., cardiac, gummatous lesions, tabes[] […] and swelling by pain in both shoulder joints, right toes, balls of the feet and heels on weight bearing.[]

  • Syphilitic Liver Cirrhosis

    The most common cause is alcohol abuse with malnutrition.[] Over 80% of patients have mucocutaneous lesions; a wide variety of rashes and lesions occur, and any body surface can be affected.[] Ascites and oedema of the legs Hematemesis due to rupture of oesophageal varices Malnutrition and weight loss Hepatomegaly initially followed by atrophy in advanced stages[]

  • Congenital Myopathy with Excess of Thin Filaments

    When swallowing muscles are affected, patients with myopathy are at increased risk for choking and malnutrition.[] ILD, palmar lesions, rash myopathy Anti-TIF1gamma: 15-38% of adult DM and 20-30% in JDM.[] Inflammatory backache is defined as age of onset prior to age 40, incidious onset, improvement with exercise, no improvement with rest, pain at night which improves on arising[]

  • Tabes Dorsalis

    This malnutrition would show itself first as has been already explained in the lower part of the spinal cord, that being the weakest point of the vascular system.[] Over 80% of patients have mucocutaneous lesions; a wide variety of rashes and lesions occur, and any body surface can be affected.[] This prolonged malnutrition tells first upon the highly-organised nervous elements in the posterior column — that being, as has been shown by studying the action of ergot,[]

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