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  Indian J Med Microbiol
 

Figure 1: Hands of the child showing thickening of skin over dorsolateral aspect of the 2nd to 4th fingers at the level of proximal interphalangeal joints of bilateral hands and sparing of thumbs

Figure 1: Hands of the child showing thickening of skin over dorsolateral aspect of the 2<sup>nd</sup> to 4<sup>th</sup> fingers at the level of proximal interphalangeal joints of bilateral hands and sparing of thumbs