Ledderhose - Basic Data Set - Form

This form has been created about 20 years ago and then further developed and used for hundreds of patients over the past two decades.

It allows to structure the most relevant information and data of the patients disease record and helps to judge whether the use of radiotherapy might be a possible treatment for any stage disease, i.e.

Stage I = ONE nodule only
Stage II = multiple nodules & cords
Stage III = stage II plus skin OR muscle involvement
Stage IV = stage II plus skin AND muscle involvement (ultrasound or MR imaging)

Primary disease = without any previous invasive / surgical treatment
Secondary disease = relapse / progression after previous invasive / surgical treatment(s)

Besides the completion of the data of this form high-resolution photographic documentation
of both foot soles is essential to compare and evaluate the findings.

Additional personal notes and comments about observed clinical signs and symptoms are also very valuable basic data.

The form covers the following aspects:

- Family history
- Possible associated disorders
- Possible risk factors
- Description of possible symptoms
- Description of possible disease development
- Description of possible treatments
- Description of possible locations of nodules & cords
- Description of possible functional changes (gait disorder etc.)

Comments
on that form for possible improvements of this form are very welcome and will be commented by myself.

Edited 09/11/19 17:31