58 YEAR OLD MALE WITH BLACKISH DISCOLOURATION OF PALMS AND SOLES
58 YEAR OLD MALE WITH BLACKISH DISCOLOURATION OF PALMS AND SOLES - August 4 ,2023 CHIEF COMPLAINTS - blackish discolouration of the palms and soles since 3 months - loss of appetite since 3 months HISTORY OF PRESENTING ILLNESS The patient was apparently alright 3 months ago then he developed blackish discolouration of the palms and soles which was insidious in onset, not associated with pain, itching, difficulty in movements. He works in agriculture mainly for watering the crops (works only one shift from 5 am to 1 pm) the rest of the day he spends at home watching television. He used to work in a company which produces insulators for the electrical wires from 2006 to 2012 and was worried if that may have caused his condition. For a few months he also worked as a security guard. Fatigue was present since 3 months He also complained of decreased appetite since 3 months to all kinds of food Last week he also developed an injury to the lateral side of the right leg which is heal