“…In the literature, we often found th a t keratoderm a palm aris et plantaris, hyperkeratosis palm aris et plantaris, and tylosis were simi lar to PK P [1,2,4,5,6]. Psoriasis, callosities, arsenical keratosis, tinea pedis, phrynoderm a, and even yaws could easily be confused in m any patients.…”