Visual Diagnosis in Emergency Medicine| Volume 57, ISSUE 2, e59-e60, August 2019

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A Man with an Unusual Foreign Body

      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 thumbnail gr1
      Figure 1Close examination showing a fine black line (arrow) on the right heel.
      Figure thumbnail gr2
      Figure 2Dermatoscopy shows the hair measuring 5 mm penetrating into the stratum corneum (DermLite II Pro 3Gen, San Juan Capistrano, CA).
      Figure thumbnail gr3
      Figure 3A 10-mm hair removed with tweezers.
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