Keratotic lesions of the foot

Keratotic lesions are widely encountered in daily podiatric practice. These conditions may represent widespread systemic illness, local and occult neoplastic disease, disorders of a genetic nature, or acquired states. Algorithms facilitate the categorization and final diagnosis of the plantar keratoses. Patients may return to normal lifestyles when mechanical, weight-dispersive, pharmacologic, or surgical therapeutic methods are employed to decrease or shield the thickened corneum.