A 60-year-old male, known pre-diabetic, presented with two small lesions on the plantar aspect of the right great toe. Such lesions, though appearing minor, warrant careful evaluation in pre-diabetic and diabetic individuals due to risk of neuropathy, poor wound healing, and potential for secondary infection or ulceration. Clinical Considerations: Examine for local tenderness, induration, discharge, or callus formation. Assess vascular status and peripheral sensation. Rule out early neuropathic ulcer or pressure-related keratotic lesions.
Glycemic control should be optimized to promote healing. Management: Proper offloading and local wound care. Regular foot inspection and footwear modification. Early intervention helps prevent progression to diabetic foot ulcer. Key takeaway: Even small plantar lesions in pre-diabetic or diabetic patients should never be ignored — timely evaluation and…