This hyperkeratotic lesion is well delimited, rounded and concentrated in a specific point. Unlike a callus, the tiloma is deeper, as it extends over much of the underlying dermis, and, for this reason, it is often painful.
Generally, the tiloma appears as a reaction to a continuous and repeated rubbing or as a result of excessive pressure on the affected area, usually after wearing tight and inadequate footwear. The tiloma can be favored by inflammatory or arthritic phenomena affecting bones and joints of the feet (as in the case, for example, of the hammer toe). These injuries can also result from a defect in posture or from any alteration of the usual walking (e.g. changes in body weight, habit of carrying shoes with high heels, sports activities carried out on rough terrain, etc.).
The diagnosis of tiloma is based on the clinical appearance of the hyperkeratotic, thickened and hard tissue. The treatment consists of manual abrasion, associated or not with the use of keratolytics (eg salicylic acid in colloidal solution or 40% urea pack) Rarely, surgery is needed to remove the tiloma or any tissue involved in the injury.
Wearing soft and comfortable shoes that do not alter the biomechanics of the foot can help prevent the onset and recurrence of this hyperkeratosis.
of the epidermis; for this reason, despite having dimensions comparable to those of a lentil, this thickening can cause pain.
