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CongenitalKeratoses. Dr.Charles E. Schoff.
A 9 year old child is presented because of a congenital keratosis of the lips, palms, soles, labia majora and anus. The patient's mother has the same lesions on her hands and feet and in the perianal and perivaginal regions ; the mother's father had the same affliction. Another child is free from the condition. This case is presented for the interest of the occurrence of hyperkeratosis of the lips. I took some scrapings from the lesions, and both slides and cultures proved to be negative.
DISCUSSION
Dr. H. E. Alderson : I have seen a good many examples of familial hyperkeratosis of the hands and feet, but I have never seen any lesions as scattered as in this case. The child is young, but I would suggest the possibility that the lesions are gonorrheal hyperkeratoses. I have never seen congenital keratoderma appearing in the