00502nas a2200217   4500000000100000008004100001260001300042653000900055653002800064653000900092653001100101653002300112653002500135653000900160653001400169100001300183245006000196300000700256490000700263022001400270       2006                            d  c2006 May10aAged10aDiagnosis, Differential10aHand10aHumans10aLeprostatic Agents10aLeprosy, lepromatous10aMale10aSclerosis1 aLevine N00aSclerotic hands with fissuring and thickening of palms.  a160 v61  a0016-867X