This patient shows multiple skin lesions associated with arsenic, including hyperkeratosis, suspected Bowen's disease, and nonhealing ulcers (suspected cancer).
Reproduced with permission from Chakroborti, D, Mukherjee, SC, Pati, S, et al. Arsenic groundwater contamination in Middle Ganga Plain, Bihar, India: a future danger? Environ Health Perspect 2003; 111:1194.
