We present a case report of a 14-year-old white male who developed hyperker
atotic plaques on the distal aspects of 2 toes. He was referred by his prim
ary care physician for the treatment of onychomycosis. With questioning, th
e patient stated that he played center for his high school basketball team.
After physical examination, he was diagnosed with callosities caused by hi
s basketball activities. Proper nail hygiene and wearing of larger footwear
resulted in improvement of his callosities. Sports-related cutaneous injur
ies should be included in the differential diagnosis of nail and toe abnorm
alities.