Abstract

Painful fat herniation, described as painful feet due to fat herniations through the thin fascial layers of the weight-bearing parts of the heel is rare, piezogenic pedal papules or Piezogenic papules are very common. These papules can also be found in wrist areas and commonly found in connective tissue disorders, especially Ehlers Danlos Syndrome. However, due to their preponderence amongst humans, their presence does not automatically mean the existence of Ehlers-Danlos syndrome and in most cases they are of little significance.