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[Congenital adipose plantar nodules persisting in a 28 year-old woman]
A Toulemonde1, A Croue, M Avenel-Audran
1Service de Dermatologie, CHU, 49033 Angers Cedex 01.
Introduction:
Congenital adipose plantar warts, a recently individualized entity, have an unknown long term evolution. Our patient, seen again aged 28 years represents the longest follow-up of the affection in the literature.
Observation:
A young woman presented with congenital plantar nodules. She was seen again at the age of 28: the lesions were still present and made it difficult for her to walk.
Discussion:
Congenital adipose plantar warts are characterized by a bilateral, asymptomatic, plantar nodule of the heel, present at birth, corresponding histologically to a normal hypodermis, occasionally with interlobular fibrosis. The follow-up of published cases has only covered childhood. Our observation suggests the persistence of the affection into adulthood. It also emphasizes the possible functional problem created when walking.