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Tripe Palms

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  • Melissa Boyce, M.B., B.S.,
  • and Cindy Flower, M.B., B.S., D.M.

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A 59-year-old woman with a history of smoking tobacco presented with a 5-month history of darkening of the skin on her palms. Velvety thickening on the palms and fingers was observed on physical examination.


Melissa Boyce, M.B., B.S.
University of the West Indies at Cave Hill, Bridgetown, Barbados

Cindy Flower, M.B., B.S., D.M.
University of the West Indies, St. Michael, Barbados

Funding and Disclosures

This article was published on July 23, 2022, at NEJM.org.

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