Greetings.
When did you finish your anti-malarial prophylaxis and antibiotic? Since when are you having these symptoms? Were any investigations done?
Dr. Arun
Hello thank you for getting back to me, i finnished my anti malerials a week after returning to uk as recomended. i have been on malerone
I have had the symptoms since dec last year (2008) about four months now
no investigations done yet, i have been to the doctor but i gues they are not familiar with tropical disease over here. its the thickening of the soles of my feet i`m especially concerned about
Hello,
A thickening of skin of feet does not point to any tropical disease and this can be just what your doctor mentioned as skin thickening termed as corn and calluses and are absolutely not worrying. Calluses and corns are among the most frequent skin conditions and, very commonly situated on the feet. Calluses are a diffuse thickening of the outermost layer of the skin, the stratum corneum, in response to repeated friction or pressure. Corns develop similarly, but differ by having a central "core'' that is overgrowth of the skin layers and often painful. Corns typically occur at pressure points secondary to ill-fitting shoes, an underlying bony spur, or an abnormal walking posture (gait). These lesions are typically located on the plantar aspect (sole) of prominent metatarsals, between toe clefts, or on the dorsal aspect of toe joints.
Please read this resource for the further details and treatment and home measures;
http://www.mayoclinic.com/health/corns-and-calluses/DS00033
Having mentioned about the skin thickening, ideally any symptoms which are persisting for four months (though they do not look significant) would need routine blood work and metabolic panel. This should give the guideline for the further investigations and management.
Hope this is helpful.
Please feel free for your follow up questions.
Doctor (MD)
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine
You are welcome.
Best wishes and kindest regards.