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Palmoplantar keratoderma (“tripe palms”) associated with primary pulmonary adenocarcinoma
  1. A Patel1,
  2. F Teixeira2,
  3. A E Redington3
  1. 1Department of Respiratory Medicine, Hammersmith Hospital, London, UK
  2. 2Department of Dermatology, Hammersmith Hospital, London, UK
  3. 3Department of Respiratory Medicine, Hammersmith Hospital, London, UK
  1. Correspondence to:
    Dr A E Redington
    Department of Respiratory Medicine, Hammersmith Hospital, Du Cane Road, London W12 0HS, UK;

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A 61 year old woman was investigated for a 12 month history of progressive thickening of the skin of her palms and soles. She had also complained of diarrhoea, exertional breathlessness and cough, and weight loss. There was no relevant past medical history or family history, but she had a 45 pack year history of cigarette smoking. Physical …

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