Pie-pulled nodules

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Classification according to ICD-10
M79.8 Other specified diseases of soft tissue
ICD-10 online (WHO version 2019)

Pie-pulled nodules (syn. Pie-pulled papules) (from the Greek πιέζειν - press, press) are pressure-induced protrusions of fatty tissue on the skin. These mainly occur between the ages of 20 and 30.

Origin

By applying pressure to the fabric fibers, it is particularly in the heel area and in other body parts too small Fettgewebehernien (ruptured fatty tissue) through the collagen fibers in the dermis ( dermis ). Standing jobs, sport and obesity play a major role here.

features

There are often numerous skin-colored to yellowish nodules up to 5 mm in size along the inner and outer edges of the heel. In rare cases, the puckered nodules are very painful and severely restrict the person affected.

diagnosis

The nodules are visible when the load is applied, but not when the load is removed.

therapy

Therapy is not necessary for painless pied nodules. Appropriate pressure relief (e.g. insoles) is recommended in the event of complaints. In particularly severe cases, an excision with a subcutaneous suture is possible.

Individual evidence

  1. Degitz K .: Sports skin diseases, Dtsch Arztebl 2005; 102 (42): last accessed on Feb. 4, 2008
  2. Braun-Falco, Otto: Dermatology and Venereology . 5th edition, p. 667. Springer, Berlin 2005. ISBN 3-540-40525-9