Clinical Quiz
The Hong Kong Practitioner VOLUME 29 / February 2007

A forty-year-old gentleman with pits on his soles
Henry H F Ho ¦ó¼yÂ×


A monthly clinical quiz is published in The Hong Kong Practitioner. Readers are invited to participate and a prize draw, sponsored by Pfizer Corporation Hong Kong Limited, will be undertaken among the successful entries each month. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 26 March, 2007. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the March issue.

Clinical history:

A forty-year-old gentleman who worked in a wet market attends for consultation. He wears rubber boots when he works. He complains of malodorous and sliminess of his feet which has been present for more than a year. They are not itchy and he has never noticed any blisters on his feet. On close examination of his soles, multiple tiny crateriform pits are visible.
The slide and the question were prepared by:
Dr. Henry H F Ho, MRCP(UK), FHKCP, FHKAM(Med)
Senior Medical Officer,
Social Hygiene Service, Public Health Service Branch, Department of Health.

The clinical diagnosis is:

A. Tinea pedis
B. Pitted keratolysis
C. Vesicular palmoplantar eczema
D. Plantar warts

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