Plantar Wart Ulcers From Radiodermatitis

Robert A. Berger, MD
JAMA. 1966;197(4):300. doi:10.1001/jama.1966.03110040110033.
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To the Editor:—  In their article "Definitive Treatment of Intractable Plantar Ulcers" (196:311, 1966), Drs. Murray and Goldwyn state that "In nine cases the etiology of the ulcer was a plantar wart." Two paragraphs later, in discussing "plantar wart ulcers," the authors note that "All patients at some time had undergone local radiation therapy...." However, the authors seem more impressed by the fact that not every area of the sole which receives x-ray treatment subsequently ulcerates than by the fact that each and every patient with a so-called plantar wart ulcer in their series had received local radiation.It is misleading to consider the etiology of such intractable ulcers as being plantar warts—except in a very indirect way. The actual etiology is radiodermatitis, and this should be emphasized. In common with the series reported by Murray and Goldwyn, all of our cases of intractable plantar ulcer related to a


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