Browsing by Author "Ghimire, Kundan Kishore"
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Publication Writer’s Bump: A Case Report Authors(Rapti Academy of Health Sciences (RAHS), 2025) Phuyal, Navindra; Pandey, Niraj; Pandeya, Anup; Ghimire, Kundan Kishore; Gautam, Ajaya RajAbstract: Defined as a plaque of hyperkeratosis, callosities develop as an adaptive response to physical forces like pressure and friction. Racial and genetic factors are supposed to determine the response to mechanical forces that may lead to the formation of callus. Considered as a “badge of trade,” calluses are given many names. Here we report a case of a bump on the thumb that was diagnosed as writer’s bump, a form of callus caused by pens and pencils. In this case, the pressure from lifting dumbbells aggravated the bump. The patient was counseled and suggested to use gloves as padding and paring and use moisturizers to prevent ulcerations of the bump. Keratolytic agents, laser therapy, and excision by scalpel are other treatment methods available. Occupational stigmata like writer’s bump and milker’s calluses are prevalent, and clear definitions are needed for proper identification and management.