Medication Summary
The goals of pharmacotherapy are to reduce morbidity and to prevent complications.
Keratolytic agents
Class Summary
These agents cause the cornified epithelium to swell, soften, macerate, and then desquamate.
Salicylic acid topical (Clear Away, Compound W, Dr. Scholl's Corn Removers)
A keratolytic, bacteriostatic, and fungistatic agent. Its main clinical use is as a keratolytic agent and as an agent that increases the percutaneous absorption of combined drugs by removing the stratum corneum. The keratolytic activity results from solubilization of the intercellular ground substance in the stratum corneum and shedding of the scales, which are bound by it. Commonly available in concentrations of 10-40% in a cream or lotion base.
Ammonium lactate (AmLactin, Lac-Hydrin, Lactinol)
Provides beneficial effects on dry skin and severe hyperkeratotic conditions. Indicated for moisturizing and softening dry, scaly skin.
Urea (Aquadrate, Calmurid, Carmol, Nutraplus)
Keratolytic, bacteriostatic, bactericidal, and fungistatic agent. Topical treatment for dry skin and ichthyosis. Also used as a skin moisturizer.
Freeman DB. Corns and calluses resulting from mechanical hyperkeratosis. Am Fam Physician. Jun 1 2002;65(11):2277-80. [Medline].
Murphy GA. Lesser Toe Abnormalities: Corns (Helomata and Clavi). In: Canale ST, ed. Canale: Campbell's Operative Orthopaedics. 10th. St. Louis, Mo: Mosby; 2003:4063-5.
Singh D, Bentley G, Trevino SG. Callosities, corns, and calluses. BMJ. Jun 1 1996;312(7043):1403-6. [Medline].
Snider RK. Corns and Calluses. In: Greene WB, ed. Essentials of Musculoskeletal Care. 2nd ed. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 2001:437-41.
DeLauro TM, DeLauro NM. Corns and Calluses. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, eds. Fitzpatrick's Dermatology in General Medicine. 7th ed. New York, NY: McGraw-Hill; 2008:97.
Kennedy CTC, Burd DAR. Mechanical and Thermal Injury. In: Burns T, Breathnach SM, Cox N, Griffiths CE, eds. Rook's Textbook of Dermatology. 7th ed. London, England: Blackwell Science; 2004:22.
Williams ML, Elias PM. Enlightened therapy of the disorders of cornification. Clin Dermatol. Jul-Aug 2003;21(4):269-73. [Medline].
Dunn JE, Link CL, Felson DT, Crincoli MG, Keysor JJ, McKinlay JB. Prevalence of foot and ankle conditions in a multiethnic community sample of older adults. Am J Epidemiol. Mar 1 2004;159(5):491-8. [Medline].
Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology. Sep-Oct 2005;51(5):346-51. [Medline].
Black JR, Hale WE. Prevalence of foot complaints in the elderly. J Am Podiatr Med Assoc. Jun 1987;77(6):308-11. [Medline].
Benvenuti F, Ferrucci L, Guralnik JM, Gangemi S, Baroni A. Foot pain and disability in older persons: an epidemiologic survey. J Am Geriatr Soc. May 1995;43(5):479-84. [Medline].
Habif TP. Warts, Herpes Simplex and other Viral Infections. In: Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 4th ed. St. Louis, Mo: Mosby; 2004:374-5.
Mann RA, DuVries HL. Intractable plantar keratosis. Orthop Clin North Am. Jan 1973;4(1):67-73. [Medline].
Coughlin MJ, Kennedy MP. Operative repair of fourth and fifth toe corns. Foot Ankle Int. Feb 2003;24(2):147-57. [Medline].
Menz HB, Zammit GV, Munteanu SE. Plantar pressures are higher under callused regions of the foot in older people. Clin Exp Dermatol. Jul 2007;32(4):375-80. [Medline].
Coughlin MJ. Common causes of pain in the forefoot in adults. J Bone Joint Surg Br. Aug 2000;82(6):781-90. [Medline].
Bae JM, Kang H, Kim HO, Park YM. Differential diagnosis of plantar wart from corn, callus and healed wart with the aid of dermoscopy. Br J Dermatol. Jan 2009;160(1):220-2. [Medline].
Sage RA, Webster JK, Fisher SG. Outpatient care and morbidity reduction in diabetic foot ulcers associated with chronic pressure callus. J Am Podiatr Med Assoc. Jun 2001;91(6):275-9. [Medline].
Cordoro KM, Ganz JE. Training room management of medical conditions: sports dermatology. Clin Sports Med. Jul 2005;24(3):565-98, viii-ix. [Medline].
Foster A, Edmonds ME, Das AK, Watkins PJ. Corn cures can damage your feet: an important lesson for diabetic patients. Diabet Med. Dec 1989;6(9):818-9. [Medline].
Balkin SW. Silicone injection for plantar keratoses. Preliminary report. J Am Podiatry Assoc. Jan 1966;56(1):1-11. [Medline].
Balkin SW. Injectable silicone and the foot: a 41-year clinical and histologic history. Dermatol Surg. Nov 2005;31(11 Pt 2):1555-9; discussion 1560. [Medline].
Field LM. Letter: injectable silicone for painful interdigital neurovascular clavi and verrucae. Dermatol Surg. Dec 2006;32(12):1535. [Medline].
Narins RS, Beer K. Liquid injectable silicone: a review of its history, immunology, technical considerations, complications, and potential. Plast Reconstr Surg. Sep 2006;118(3 Suppl):77S-84S. [Medline].
Richards RN. Calluses, corns, and shoes. Semin Dermatol. Jun 1991;10(2):112-4. [Medline].
Dockery GL, Nilson RZ. Intralesional injections. Clin Podiatr Med Surg. Jul 1986;3(3):473-85. [Medline].

