Make the Diagnosis: This Odor Is the Itchy Pits

MedpageToday

Presentation

A 24-year-old man visited his primary care physician with complaints of excessive foot odor, worse than anything he’d experienced before. He said he didn’t have any pain or burning, but the soles of his feet did occasionally itch. The patient mentioned his feet frequently sweat while playing recreational ice hockey a few nights a week. Upon examination, several shallow rounded pits were found on the pressure-bearing areas of the soles.


Can you diagnose the patient?

Click here to use the Differential Builder in VisualDx to help you.

314% A. Tinea pedis

252% B. Palmoplantar keratoderma

56% C. Clavus

1148% D. Pitted keratolysis

Learnings

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