Rhythm gamer’s pad

These are symmetrical hard subcutaneous lesions on the sides of both hands (arrows) of a man in his 20s (fig 1). Although the cause was initially unclear, he mentioned playing rhythm games on a regular basis. This genre of music themed video games challenges a player’s rhythm using a variety of game controllers, such as those inspired by musical instruments, or even dance moves. This man’s favourite game required him to repeatedly press buttons located on each side of the controller and the position of these buttons corresponded to the site of callous formation. As rhythm games grow in popularity worldwide, health professionals might encounter callouses at unusual sites. This man now wears gloves when gaming.bmj;381/apr27_3/e073436/F1F1f1Fig 1
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