A 49-year-old Hispanic woman presented with a 4-month history of scaling and a macerated rash localized between her toes (FIGURE 1). The rash was malodorous, mildly erythematous, and sometimes associated with pruritus. The patient had no relevant medical history. Potassium hydroxide (KOH) testing was performed and found to be negative. So a Wood’s lamp was used to examine the patient’s toes—and it revealed the diagnosis.
Photo Rounds
Persistent rash on feet
J Fam Pract. 2018 February;67(2):107-109
Author and Disclosure Information
University of Texas Health at San Antonio
Usatine@uthscsa.edu
DEPARTMENT EDITOR
Richard P. Usatine, MD
University of Texas Health at San Antonio
The authors reported no potential conflict of interest relevant to this article.
The diagnosis hid in the shadows until we turned on an ultraviolet light.