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Toe lesions


Lesions of the toes are extremely common. They are caused by a variety of conditions ranging from simple ingrowing toenails to severe pain and ulceration caused by ischaemia. Deformities of the toes are also exceptionally common, particularly in the elderly.

Causes

Toenails

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    Ingrowing toenail ( Fig. 57 )

    Figure 57, Ingrowing toenails of both great toes .

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    Subungual haematoma

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    Warts/verrucas

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    Subungual melanoma

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    Subungual exostosis

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    Onychogryphosis

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    Onychomycosis

Deformities

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    Hallux valgus

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    Hallux rigidus

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    Hammer, claw or mallet toe

Ulcers

Ischaemic

Large vessel disease

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    Atherosclerosis

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    Embolism

Small vessel disease

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    Diabetes

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    Raynaud’s

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    Buerger’s

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    Vasculitis (e.g. scleroderma, SLE, rheumatoid)

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