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Related Experiment Videos

Mal perforans and spina bifida occulta.

D S Lockman, T M Jones, D C Abele

    Archives of Dermatology
    |March 1, 1978
    PubMed
    Summary

    Spina bifida occulta, a spinal condition, can manifest as mal perforans pedis, a foot ulcer. This case highlights the importance of recognizing subtle skin signs for early diagnosis of associated spinal abnormalities.

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    Area of Science:

    • Neurology
    • Dermatology
    • Orthopedics

    Background:

    • Spina bifida occulta is a congenital vertebral anomaly often asymptomatic.
    • Intradural lipomas are benign tumors associated with spinal dysraphism.
    • Mal perforans pedis is a neuropathic ulcer typically seen in diabetes.

    Observation:

    • A 26-year-old male presented with a chronic foot ulcer (mal perforans pedis).
    • Physical examination revealed two lumbosacral dimples and a sacral hair tuft.
    • These cutaneous findings indicated an underlying spinal abnormality.

    Findings:

    • The patient was diagnosed with spina bifida occulta.
    • An associated intradural lipoma was identified.
    • Mal perforans pedis was the primary clinical manifestation of these spinal defects.

    Implications:

    • This case underscores the significance of cutaneous markers in diagnosing spinal dysraphism.
    • Early recognition of subtle signs can prevent complications like neuropathic ulcers.
    • Understanding the association between spina bifida occulta, lipomas, and mal perforans is crucial for comprehensive patient care.

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