Hyperkeratosis and hard nodules of the feet and lower legs are seen. There may be superimposed bacterial and fungal infection and consequent inguinal adenolymphangitis. Loss of function may occur over time.


Topical antiseptics and emollients may help. Patients should wash their feet with soap and water daily and wear socks and shoes. Application of compression bandages and surgery may help to remove nodules.

Raising awareness in endemic areas to the need to wear shoes during daily work is key.


JAAD July 2011 Volume 65, Issue 1, Pages 214–215

Wash Ethiopia Movement


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