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Porokerotosis

After I ask my lesions on my feet last week. Most doctor gave the similar answer. Just like Porokerotosis or IPK. I wonder if I not get treat. What happen with those cores?

I live in Finland and Doctor in finland let me use acid by myself. She said they are wart or corn. I will back to Thailand next year. I want to get treat in Thailand. Still 7 months to go back. What the cores will be? Yes it painful so much.
Poster
  • Female | 48 years old
  • Ethnicity: Other Asian
  • Medications: nose spray xylometazolin hydrochlorid 0,5ml
  • Conditions: Allergy, dust, cat can lead to asthma.
July 22, 03:27 AM

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Featured Answer

1 UpVoted this answer
I usually perform removal of these lesions with blunt dissection as long as it is not under a boney prominence, then I modify the insole to help prevent reoccurrence

If there is an associated prominent bone, this should be dealt with surgically as well and/or a custom made orthotic might help
Irwin D. Cohen
Irwin D. Cohen, DPM, FACFS
Podiatrist in Palo Alto, CA
Level: Contributor (10)
Website: http://www.elcaminohospital.org/Find_a_Doctor/id/145/key/ResultsDetails/modId/946
July 22, 06:16 PM
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1 UpVoted this answer
Waiting equals more pain and possibly bigger in size. There are many treatments including topical, debridement, padding, and/or surgery. Sooner the better for treatment for pain relief.
Nicole Kessel
Nicole Kessel, DPM
Podiatrist in Goodyear, AZ
Level: Candidate (3)
Website: Arizona Foot & Ankle Specialists, LLC
July 22, 05:38 PM
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use the Salicylic acid 40% pads to try and treat it
Gennady Kolodenker
Gennady Kolodenker, DPM
Podiatrist in Irvine, CA
Level: Master Contributor (97)
Website: Foot and Ankle Specialist
March 19, 06:49 PM
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If the diagnosis of porokeratosis is correct then it is difficult to actually "cure" the problem as opposed to a wart which is a virus that can be cured. I have had some success excising these lesions but sometimes they may still recur but usually causing less pain. Conservative care can minimize your symptoms including debridements and orthotics however these treatments will never "cure" the problem.
Joseph Burke
Joseph Burke, DPM
Podiatrist in Bellmore, NY
Level: Contributor (9)
Website: Cherrywood Foot Care
December 08, 03:01 AM
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All of these posts are great information for you. Reduce the pressure and friction with added insoles or padding. Be careful with the topical "acids" as these will usually make the skin very irritated and not get the hard core out whether this is wart or "porokeratosis".

I am not familiar with how the medical system works in Finland regarding seeing a specialist such as a podiatrist or dermatologist in Finland will properly treat this for you.

The option of pain for several months is not very good.
Gary S. Scheinin
Gary S. Scheinin, DPM
Podiatrist in Los Gatos, CA
Level: Contributor (19)
Website: Dr. Gary S. Scheinin
August 31, 02:57 AM
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Having the correct diagnosis first would surely help in your treatment. There are topical treatments for certain skin conditions that work quite well such as cantharone plus which can normalize the skin on the bottom of your foot and has been used extensively in Asia for years with good success. Make sure you have the correct diagnosis before anymore treatments.
Jason Miller
Jason Miller, DPM
Podiatrist in Paoli, PA
Level: Master Contributor (50)
Website: Pennsylvania Orthopaedic Center
August 26, 05:24 PM
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A distinction needs to be made whether you have an IPK or a porokeratoma. IPK form under metatarsal heads on the balls of the feet. These lesions require that treatment is geared toward removing pressure caused by the underlying bone. Treatment is either through orthotics to relieve pressure or surgery to plane off plantar condyles of the metatarsal head. If the lesions are porokeratomas then these are best treated using a punch biopsy to totally remove the lesion.. There should be no suturing to the surgical site. This should be allowed to heal on its own. Depending on the size of the lesion will determine length of time to heal. This proceedure is about 8% successful..
Jay D. Helman
Jay D. Helman, DPM
Podiatrist in Pearl River, NY
Level: Contributor (16)
Website: Jay D. Helman, DPM
July 24, 12:46 PM
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PoroKeratosis is a very concentrated, thick buildup of dead skin. Warts are a benign skin tumor caused by a virus. Warts can be treated and can go away permanently. PoroKeratosis can not usually be treated to go away permanently. They need to be trimmed down as the dead skin builds up to keep them from being continuously painful. Another way to manage them is to use salicylic acid 40% to keep them soft and to help peel away the dead skin, but they will always buildup....One way to try to eliminate them would be to remove a wedge of skin (full skin thickness) to eliminate/remove the defect from the skin. This will not work if the lesion is caused by a boney prominence.
Jeffrey Conforti
Jeffrey Conforti, DPM
Podiatrist in Paramus, NJ
Level: Contributor (7)
Website: Ridgewood Foot & Ankle Center
July 23, 01:38 AM
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I cannot make a diagnosis with seeing your foot in person, however, whether an IPK or a porokeratosis, it is still a build up of keratin (hard skin or "core"). The acid is safe for both if applied correctly. Your shoe insoles could also be modified to put pressure around the lesion but not directly on and that provides pain relief. A donut pad directly on the foot (with the open center overlying the lesion so nothing touching it) would serve the same purpose.
Brooke Gifford
Brooke Gifford, DPM
Podiatrist in Thousand Oaks, CA
Level: Candidate (1)
Website: Advanced Foot & Ankle Medical Center
July 22, 10:32 PM
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There is a difference between porokeratosis and IPK IPK's are located directly under a knuckle at the ball of the foot and are caused by the knuckle itself being a bit out of place. The treatment is to simply move the knuckle into a more proper place and the IPK will go away by itself. The porokeratosis is usually not directly under the knuckle and is a small little area of hard skin. Acid plasters will help reduce the thickness of the porokeratosis butl not make it go away. Depending on how big the lesion is and exactly where it is located, sometimes alcohol injections, or use of radiofrequency, or even cutting the lesion out are the curative treatments.
Gary Cramer
Gary Cramer, DPM
Podiatrist in Austin, TX
Level: Master Contributor (62)
July 22, 06:20 PM
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