Active duty soldier with punctate marks on the feet.

Volume 90, Number 7 www.aafp.org/afp American Family Physician 487 A 27-year-old man on active military duty presented with severe sweating in both of his feet. He also had malodorous cracking skin and pain in his feet. The symptoms had been present for two years. Multiple home remedies such as frequent changing of his socks, new shoes, and the use of deodorants and drying powders did not improve his symptoms. He did not have excessive sweating in other areas of his body. Physical examination revealed foulsmelling feet with multiple discrete punctate depressions on the plantar surface. The lesions were mostly distal in location (see accompanying figure). Physical examination findings were otherwise normal.