Black heel/Calcaneal petechiae/Talon Noir
Post traumatic punctate haemorrhage. Irregular black or bluish black or dark brown plaques/macules – affect the posterior or posterolateral aspect of heels just above the edge of the plantar skin. Lesions are not raised and are usually painless.
Most likely due to trauma during sport –especially sports like basketball and tennis – due to stresses in tissues in the region.
Treatment generally not needed – most resolve - may need to debride hyperkeratosis – cushioning heel seat or heel cups can be used.
Differential diagnosis – melanoma, verrucae
Black heel | Talon noir | Calcaneal petechiae