Mechanical and Thermal Injury

Instrument-related Skin Disorders in Musicians

“…It has been reported that ACD in musicians is mainly due to rosin (string instruments), exotic woods (eg, used for chin rests), nickel, cane reeds (saxophones and clarinets), 12 or propolis (violin varnish). 13 Nickel, a common metal, is the most frequent contact sensitizer in the population at large. It has a role in contact dermatitis in musicians and may cause dermatitis of the fingers and hands, as well as of the lip and neck regions.…”

Piezogenic pedal papules treated successfully with deoxycholic acid injection

“…PPPs are known to be common in healthy subjects, with most experiencing no symptoms 1, 3. The pain in the remaining patients results from ischemia of blood vessels and associated nerves, with consequent thickness of papillary dermis 1, 4.…”

“…The pain in the remaining patients results from ischemia of blood vessels and associated nerves, with consequent thickness of papillary dermis 1, 4. The main cause for seeking medical care is pain while standing and walking.…”

“…Piezogenic pedal papules (PPPs) were first described by Shelley and Rawnsley 1, 2, 3. As the name piezogenic suggests, lesions are generated by pressure (piesis), inducing herniation of footpad's fat through the dermis 1, 2, 3, 4…”

“…As the name piezogenic suggests, lesions are generated by pressure (piesis), inducing herniation of footpad's fat through the dermis 1, 2, 3, 4…”