10 sions had a dry, thickened, leathery feel. Most lesions were superficial. After several days, dry, scaly desquamation developed from the center of the lesion outward. Desquamation left depigmented areas similar in texture to the surrounding skin (fig. 4B). During the next few weeks, the lesions gradually became repigmented and the skin becamerelatively normal in appearance. Ap- proximately 20% of the group developed deeper le- Fig. 5.-A, byperpigmented raised plaques and bullae on dorsum of feet and toes at 28 days. One lesion on left foot shows deeper involvement. Feet were painful at this time. B, six months later. Foot lesions have healed with repigmentation, except for depigmented spots persisting in areas where deepest lesions were. sions. These were seen on the neck, scalp, and ear, and most frequently on the feet (fig. 5 and 6). These lesions were painful and were characterized by wet desquama- tion with weeping and crusting, and, in some foot lesions, desquamation was preceded by bullous formation