KERATOSIS PALMARIS ET PLANTARIS DUE TO FRAMBESIA

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Abstract
Late lesions of yaws affecting the palms and soles have been reported in the literature, but the authors who made these observations do not give us a clear and concise idea of these lesions. This article is an attempt to give a clear picture of these conditions so common in countries where yaws is prevalent. Only lesions affecting the palms and soles accompanied by a hyperkeratosis will be discussed. REVIEW OF THE LITERATURE The literature is replete with references to other types of tertiary lesions of yaws, but I have found only two articles dealing with tertiary lesions of the palms and soles. Castellani1 calls attention to a "peculiar pitted appearance of the palms of the hands." This condition, he states, is manifested in the "latter part of the secondary stage" as "hard, round, flattened papules or small nodules, having a thick, hard epidermic plug in the center. The

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