The feet can show a variety of skin conditions, ranging from those reflecting systemic rashes to those unique to the feet. From a foot care perspective, common conditions include onychomycosis, corns, and calluses. This article provides an overview of these common conditions, as well as less frequently encountered skin diseases, including those in the categories of eczema and dermatitis, pustular diseases, inflammatory keratoses, keratoses, and infections. It is also important to note that skin conditions not covered here may appear on the feet as part of systemic symptoms, so it is recommended to observe other areas of the body for rashes when skin lesions are present on the feet.

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[in Japanese]

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[in Japanese]

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 Background and Methods: In April 2022, “diabetic foot” was revised as a target disorder for the rehabilitation fee for locomotive diseases. However, a 2023 survey revealed no increase in physiotherapists（PTs）involved in these cases, indicating that barriers and facilitators of PT involvement in foot disease rehabilitation were a lack of specialized knowledge and high case complexity. Therefore, this retrospective study was conducted at 11 facilities, and the patient characteristics, pathological complexity, and outcomes were investigated. Results and Conclusion: A total of 303 cases were analyzed and divided into two groups: 138 before revision and 165 after revision. Following the revision, the rehabilitation fee for locomotive disease cases increased from 20.3% to 52.1% and prescription rates from the Department of Plastic Surgery increased from 15.2% to 37.6%. The number of dialysis patients has increased from 31.2% to 44.2%. The decline in the walking ability at discharge decreased from 12.3% to 10.9%. No significant changes were observed in age, sex, severity, or etiology of the foot disease. Ischemic progression remained the predominant cause（60%）, and about 42% of the wounds were unhealed at discharge, underscoring the need for better ischemia and wound care management post-discharge.

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 This study reviewed the literature on outpatient foot care for dialysis patients in Japan to identify research trends and future challenges. Using the Ichushi Web database, a literature search for original articles was conducted with the keywords “dialysis patients,” “foot care,” and “outpatient nursing.” A total of 18 original articles that matched the research objectives were selected for analysis.
 We found that there were few studies involving patients in dialysis clinics. Although dialysis patients have a high incidence of severe chronic limb threatening ischemia, early detection of foot lesions through regular observation can help prevent progression to severe disease. However, dialysis patients may not fully recognize the importance of lower limb salvage.

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 Diabetic foot ulcers（DFUs）are one of the most serious and common complications of diabetes, easily deepened and refractory due to easy infection, and in some cases can lead to lower extremity amputation.
 In this report, we describe a case of a patient with a refractory DFUs who was successfully treated with negative pressure wound therapy and EPIFIX^®, a tissue healing material made from human amniotic membrane, to preserve the toe and maintain walking function.

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