title: Puzzling palmar papules and pits.
authors.affiliation: Mercy Health Partners Family Practice Residency and Medical College of Ohio, 2200 Jefferson Avenue, Toledo, OH 43624 USA. foxgary@yahoo.com
authors.forename: Gary N
authors.initials: GN
authors.lastname: Fox
mesh_terms: D001741:Black or African American; D003937:Diagnosis, Differential; D005260:Female; D006229:Hand Dermatoses / Q000473:pathology* / Q000628:therapy; D006801:Humans; D007645:Keratoderma, Palmoplantar / Q000473:pathology* / Q000628:therapy; D008875:Middle Aged