File:Scars and warts.jpg
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Summary[edit]
DescriptionScars and warts.jpg |
English: Painful scars from skin transfers after surgical removement of deepseated plantar warts. Two warts are still active, after several surgical efforts to remove them they have become extremely painful. Beside calloused skin at the border of the hallux and big toes two subungual warts developed under the nails of both fourth toes, due to clawing of the toes to releave pressure from the warts. The 41-year-old woman suffers from excruciating pain and is hardly able to walk.
Deutsch: Fußsohlen einer 41-jährigen Frau mit Narben und Dornwarzen. Bereits im Alter von 12 Jahren entstanden fünf Dornwarzen, die danach mehrfach operativ mit dem scharfen Löffel entfernt wurden. Der letzte Eingriff erfolgte im Alter von 18 Jahren, dabei wurden drei der Operationswunden durch Transplantate gefüllt. Die auffälligen und unansehnlichen Narben sind nicht nur kosmetisch inakzeptabel sondern auch sehr druckempfindlich. Weil es durch die Belastung immer wieder zu tiefen Rissen mit Einblutungen kommt und damit Entzündungsgefahr besteht, muß die Patientin auf das Barfußlaufen verzichten. Die beiden rezidivierten Dornwarzen reichen bis zu den Knochen und besitzen in der Tiefe einen Durchmesser von zweieinhalb Zentimetern. Ihre ungeheure Schmerzhaftigkeit hat zu Fehlbelastungen beim Gehen geführt, was sich an starker Hornhaut- und Schwielenbildung an beiden Großzehen und -ballen zeigt. Durch Gewichtsverlagerung und protektives Krallen der Zehen (um die Warzen zu entlasten) haben sich zusätzlich subunguale Warzen unter den Nägeln der vierten Zehen gebildet, die ebenfalls druckschmerzhaft sind. Die mehrfachen operativen Entfernungen der Warzen, die ursprünglich von tolerierbarer Schmerzhaftigkeit waren, haben einen Zustand hinterlassen, der seitdem die Aktivitäten der Patientin erheblich einschränkt und behindert. Die extrem stark schmerzenden Dornwarzen sowie die Schmerzhaftigkeit der Narben und Nagelwarzen machen jeden Schritt trotz weicher Einlagen zur Qual und führen immer wieder zu annähernder Gehunfähigkeit. Weitere Befunde: Hallux valgus, ausgeprägte Platt-Spreizfüße und Hyperhidrosis (Schweißfüße) |
Date |
Unknown date Unknown date |
Source | Own work |
Author | Marionette |
--Marionette1 (talk) 11:02, 3 May 2010 (UTC)
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Date/Time | Thumbnail | Dimensions | User | Comment | |
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current | 11:35, 5 March 2009 | 1,536 × 2,048 (328 KB) | Marionette (talk | contribs) | {{Information |Description={{en|1=Painful scars from skin transfers after surgical removement of deepseated plantar warts. Two warts are still active, after several surgical efforts to remove them they have become extremely tender. The 41-year-old woman s |
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Camera manufacturer | Canon |
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Camera model | Canon PowerShot A400 |
Exposure time | 1/60 sec (0.016666666666667) |
F-number | f/5.6 |
Date and time of data generation | 00:00, 1 January 1980 |
Lens focal length | 5.90625 mm |
Orientation | Normal |
Horizontal resolution | 96 dpi |
Vertical resolution | 96 dpi |
File change date and time | 00:00, 1 January 1980 |
Y and C positioning | Centered |
Custom image processing | Normal process |
Exposure mode | Auto exposure |
White balance | Manual white balance |
Digital zoom ratio | 1 |
Scene capture type | Standard |
Exif version | 2.2 |
Date and time of digitizing | 00:00, 1 January 1980 |
Image compression mode | 3 |
APEX shutter speed | 5.90625 |
APEX aperture | 4.96875 |
APEX exposure bias | 0 |
Maximum land aperture | 3.84375 APEX (f/3.79) |
Metering mode | Pattern |
Flash | Flash fired, auto mode, red-eye reduction mode |
Color space | sRGB |
Focal plane X resolution | 11,702.857142857 |
Focal plane Y resolution | 11,725.190839695 |
Focal plane resolution unit | inches |
Sensing method | One-chip color area sensor |