Objective

Premature aging syndromes are very rare and most often hereditary. Initially purely descriptive entities, these syndromes are now much better understood genetically and pathophysiologically and can now be classified according to the mechanisms involved. They often manifest as a pigmented skin dry, atrophic and sclerotic. There is no treatment for these conditions apart from that of their complications (frequent ulceration).

Observations

Forty-five years of patient follow-up in dermatology for premature aging syndrome, addressed in our service for podiatric care.

Podiatric examination: shiny thin skin, sclerotic and pigmented; valgus big toe bilateral irreducible with claw toes; hyperkeratosis at the heads of the metatarsals and the outer edge of the metatarsal head of the big toe.

Optical podoscope: bilateralcalcaneal varus more marked on the left; grade hollow foot 3 left and flat foot grade 1 right and no support on the toes left.

Static electronic podoscope: hyper-based at the forefoot: metatarsal heads bilaterally and in the left heel.

Our action was the prescription of custom orthopedic shoes, preceded by a preliminary preparation of the skin.

Discussion/Conclusion

Aging syndrome is a very rare disease that has many complications. The impact on the feet is very annoying and debilitating, especially with unsuitable boot, which can cause ulcers, that are difficult to heal, because of the disease, and therefore compromising walking for these patients.

Appropriate care, involving: dermatologist, MPR and the orthotist is desirable and aims to preserve as long as possible and comfortable walking.