What causes this appearance in the foot?

piezogenic papules : They show up when pressure pushes the fat in your heel outward, and usually disappear as soon as the pressure is gone. For some people, they’re just a visual thing. For others, they can be a sign of how the foot is handling load.

Piezogenic comes from 2 Greek words Piezo-: “to press” -genic: “caused by” So you’re right - literally means caused by pressure! 👍💡

Ehlers Danlos Syndrome

Learnt something new myself - wasn’t aware of this association! 🙏

@jazzycarolanne And if they are in your office they will also have POTS and MCAS along with their hEDS causing their GI symptoms.

@drkeithsiau Yes and likely pain which is a nearly universal sign

Or piezogenic heel papules (piezogenic pedal papules).

I think this is it! Benign papules caused by pressure. There is an association with heel pain and plantar fasciitis, usually due to unfavourable ergonomics and localised strain!

So, my prize? In euros, please.

Here’s your pizza-genic prize! 😜

Thanks! Let's see when you open your wallet 😂😂😂

Lymphedema, where the accumulation of lymphatic fluid in the subcutaneous tissue produces that folded and redundant appearance when the tissue is pinched or compressed, known as a positive Stemmer sign.

Ehlers-Danlos

piezogenic papules

Careful, or you'll have the Karen's on you.

This one is fairly guilt free 🤣

The other one was too. Literally zero misogyny, nothing sexist or vulgar. Just anatomy. Keep up the great work.

Appreciate the support! If that was a bloke, it wouldn’t have been much of an issue. Talking about the darling of British acting may have struck a nerve, but lesson learnt! 🙈

Lipo something or other

You’re partially right as they are technically fat protrusions, so here’s a mini prize 🥉😜

Piezogenic papules.

Classic sign of Selenium deficiency

piezogenic pedal papules......??

Connective Tissue Variants . They are often seen in EDS and hEDS

not wearing the correct shoes

I have no idea honestly

Which is the correct answer?

Pápulas peizogenicas

Nice , thanks for the post

Piezogenic Papules Herniation of Fats through elastic tissues

Looks like a connective tissue abnormality Ehler-Danlos syndrome

No Has the prize been awarded?

Connective tissue issues!! Ehler Danlos

haven't got a clue but looks like fat globules

Benign papules

pedal papules