Black heel

Synonym:

Talons noirs

Black heel is subcutaneous hemorrhage on the heel caused by trauma. It is not uncommon in runners.
The patients are generally concerned that a melanoma may be present. The sudden onset of a large area of black-purple pigment, and the purple nature of that pigment, separates it from melanoma.

Treatment:

• Paring the lesion with a scalpel blade generally removes the hyperpigmentation.

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