Study of Fissure Soles: Prevalence and Their Association with Various Dermatoses
Sunil Petkar
Department of Dermatology, Venereology and Leprosy, Terna Medical College & Terna Speciality Hospital and Research Centre, India.
Pratima Waghmare
Department of Dermatology, Venereology and Leprosy, Terna Speciality Hospital and Research Centre, Terna Medical College, Nerul, Navi Mumbai, India.
Ketaki Sankhe
Department of Dermatology, Venereology and Leprosy, Terna Medical College & Terna Speciality Hospital and Research Centre, India.
Pravin Maheshawari
Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe) Wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Heel fissures are splits or cracks in the epidermis, which can manifest as a consequence of anhidrosis and may or may not present with hyperkeratosis. Epidermal fissures are superficial and not considered to be a wound at this early stage. However, with increased pressure these splits become deeper, involving the dermis so that they begin to bleed and result in pain on weight-bearing activities. These fissures are regarded as partial-thickness skin wounds and are at increased risk of developing infection.
In Theory anyone can get a cracked heel or fissure soles but certain conditions predisposing to fissure soles are Congenital causes - Juvenile Plantar Dermatosis
Acquired causes - Eczema, Atopic Dermatitis, Tinea pedis,Psoriasis especially Palmoplantar psoriasis, Palmoplantar Keratodermas, Leprosy, Systemic causes-Diabetes mellitus, Hypothyroidism, Scleroderma, Rheumatoid arthritis.
Keywords: Diabetes mellitus, hypothyroidism scleroderma, Rheumatoid arthritis