Spot Dx — Puzzling papules appear on heelsÂ
Jeremy, a 28-year-old chef, presents with some tender lumps around his heels.
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Jeremy, a 28-year-old chef, presents with some tender lumps around his heels.
He first noticed them six months ago, and reports that over the last few months they have started to cause mild discomfort. He also says the lumps are only visible when he is standing. He does 12-hour shifts and is on his feet all day long.
