Author: Dr Peggy Chen MB ChB, Dermatology Registrar, Waikato Hospital, Hamilton, New Zealand, 2013.
What are piezogenic papules?
Piezogenic papules are common, soft, skin-coloured papules found on the feet and wrists. They result from herniation of fat through the dermis. The name "piezogenic" refers to the origin of the papules being pressure.
Who gets piezogenic papules?
People of all ages, gender and ethnicities are susceptible to piezogenic papules. They are commonly observed in overweight or obese women. They are also associated with underlying connective tissue diseases such as Ehlers-Danlos syndrome, flat feet, and excessive weight-bearing exercise.
Piezogenic papules are of unknown cause.
Clinical features of piezogenic papules
Piezogenic papules are mostly asymptomatic and are noticed incidentally. Occasionally they may be painful.