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Reprint Address: Fred Bernardes Filho, md, Dermatology Division, Department of Medical Clinics, Ribeirao Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, 14048900 São Paulo, Brazil
Affiliations
Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, BrazilEmergency Department, Hospital Imaculada Conceição da Sociedade Portuguesa de Beneficência, Ribeirão Preto, São Paulo, Brazil
A 35-year-old white, previously healthy man presented with an 8-h history of pain
on the right heel that worsened while walking. There had been no prior foot or ankle
injury. On physical examination there was no abnormality (foreign body, swelling,
or deformity) found. The patient was asked to walk on his tiptoes, and then on the
heels, and he reported pain while walking on his right heel. On reevaluation, a hair
seemingly attached to the right heel (Figure 1) was observed. Dermoscopy with a handheld dermatoscope showed a 5-mm hair (Figure 2) penetrating the skin. A hair measuring 10 mm (Figure 3) was removed with tweezers and pain relief was immediate.
Figure 1Close examination showing a fine black line (arrow) on the right heel.
