Medical history (history of the patient) represents an important component in the diagnosis of clavus (corn). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Current medical history/systemic history (somatic … Chicken Eye (Clavus): Medical History
Infectious and parasitic diseases (A00-B99). Verruca plantaris (plantar wart).
The following are the most important diseases or complications that may be contributed to by a corn (clavus): Symptoms and abnormal clinical and laboratory findings not classified elsewhere (R00-R99). Chronic pain (→ walking is possible only with pain or is markedly difficult, or may be impossible)
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing) of the foot [clavi?] of the further examination of: Periphyton pulse status (palpation of the foot pulses of the tibial artery and dorsalis pedis artery, bilaterally). Skin temperature, skin … Chicken Eye (Clavus): Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Uric acid Rheumatoid diagnostics – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate); rheumatoid factor (RF), CCP-AK (cyclic citrulline peptide antibodies), ANA (antinuclear antibodies).
Medical device diagnosis is usually not required.
2nd order Surgical removal of the keratinized area by a sharp spoon. Surgical correction for malpositions, exostoses, etc.
To prevent chicken eye, attention must be paid to reducing individual risk factors. Behavioral risk factors Wearing inappropriate footwear (e.g., too tight, high heels). Dry skin Chemical irritants
The following symptoms and complaints may indicate a clavus (corn): Main symptoms Circumscribed thickening of the horny layer with a central spur. Surroundings usually reddened Mostly painful, especially with pressure or strain Predilection site (body region where the changes occur most often). Foot (especially the 5th toe).
Pathogenesis (development of disease) Clavus is caused by chronic pressure or friction on the affected area of skin near the bone, resulting in hyperkeratosis (excessive keratinization of the skin). Etiology (causes) Biographic causes Genetic burden from parents, grandparents: e.g., hereditary hyperkeratosis (excessive keratinization of the skin that is genetically determined), gout (see gout below) Behavioral … Chicken Eye (Clavus): Causes
General prophylactic measures Wearing well-fitting, comfortable footwear (feet should not be constricted); avoiding shoes with high heels Padding vulnerable areas of the body Avoidance of skin dryness, this favors the formation of clavus Regular foot care General therapeutic measures Medical foot care – removal of horn material with a cutter or similar by a specialist … Chicken Eye (Clavus): Therapy
