Article: Occupational marks in a coconut tree climber

Sir,

A 40-year-old man presented with asymptomatic hyperpigmentation and thickening of skin over bilateral forearms. These lesions were not associated with itching or oozing at any time in the past. He worked as a professional coconut tree climber in various farms. On further questioning, he revealed the presence of these lesions for the past 20 years, which were the result of his using both forearms and the feet to grip the tree while climbing, as he pulled himself up to pluck coconuts. He denied using the help of any belt or support while doing so. Usually, he takes a maximum of 4-5 minutes to climb up, but comes down within 30 seconds. During this work initially, he used to suffer from ...

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