Treponeme-associated hoof disease (TAHD) is an emergent disease of elk (Cervus canadensis) in the Pacific West of the United States. Although lesions are usually restricted to the feet, anecdotal reports suggested increased prevalence of abnormal antlers in affected elk. We used hunter harvest reports for 1,688 adult male elk harvested in southwestern Washington, USA, during 2016-2018, to evaluate anecdotal reports. We used Akaike's Information Criterion to compare 18 logistic regression models describing the prevalence of asymmetrical antlers, indicated by unequal antler point counts. Our leading model (84% of model weight) described additive effects of TAHD (odds ratio = 1.91; 95% CI = [1.49, 2.44]) and maximum number of antler points. Confidence intervals overlapped zero for all other parameters, which described ecotypic, geographic, and age-related effects. Effects of physical injury on antler development have been described elsewhere; however, injuries leading to instances of antler deformity do not have population-level management implications. In contrast, we describe effects of a transmissible disease that was reported by hunters in >35% of adult male elk and was associated with an increase of ≥16 percentage points in the prevalence of gross asymmetry. Unequal point counts are quite common in elk with otherwise typical antlers and seem unlikely to attract public notice or be attributed to hoof lesions; thus, we suspect our results and anecdotal reports reflect more prominent deformities that are important to stakeholders who enjoy hunting and wildlife viewing.