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  Indian J Med Microbiol
 

Figure 4: Thick hyperkeratotic lesions involving (a) thenar eminence, palmar surfaces of left thumb, and base of index finger; (b) PIP joints of left 4th and 5th fingers; (c) Dorsum of base of left great toe

Figure 4: Thick hyperkeratotic lesions involving (a) thenar eminence, palmar surfaces of left thumb, and base of index finger; (b) PIP joints of left 4<sup>th</sup> and 5<sup>th</sup> fingers; (c) Dorsum of base of left great toe