- Author: Daniel J Hogan, MD; Chief Editor: Dirk M Elston, MD more...
Further Outpatient Care
Follow-up care is important to ensure control of the hyperkeratosis because patients may require regular, repeated applications of keratolytic agents in conjunction with careful paring.
Patients with special health concerns, including diabetic patients, amputees, and elderly persons, may require more frequent follow-up visits in order to decrease the likelihood of a more catastrophic complication, particularly secondary bacterial infection, from the initial lesion.
Deterrence and prevention includes the use of corn pads, web spacers, and properly fitting shoes (see Pathophysiology and Medical Care). Patients can treat their corns at home using a pumice stone to regularly debulk the lesion after a shower, when the skin is soft.
Complications include secondary bacterial or fungal infection in patients with diabetes or in patients with immunosuppression (see Mortality/Morbidity). With deep paring, be aware of the risk of bleeding and infection.
Corns are often in close proximity to joints and bones, increasing the chances for septic arthritis or osteomyelitis to occur if left untreated.
Recurrence is common.
For excellent patient education resources, see eMedicineHealth's patient education article Corns and Calluses.
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