An 84 year old female is complaining of pain when she walks because she has areas on her feet that are bothering her

An 84-year-old female is complaining of pain when she walks because she has areas on her feet that are bothering her. On physical examination, Betty has one small, hardened, well-circumscribed thickened area of the skin on the fourth metatarsal joint of her right foot and two similar regions on the second and third metatarsal joints of her left foot.

• What skin manifestation do you believe Betty is exhibiting?
• Considering Betty’s age, what would you be concerned about at this time?

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