I am only aware of cases reported from the Gold and Ivory Coasts of West
Africa and the West Indies. I never met with it in Mamprusia, nor have I
met any trader coming from Moshi with it, nor have I met with it in Fra
Fra, and I can find no one who has seen it in the eastern parts of the
colony. But in the following districts it has been noted: Ahanta,
Appolonia, Fantee, Accra, Aquapim, Akim, Assin, Sefwhi, Ashanti,
Attabubu, Kwahu, Kintampo, Berekum, Gaman, the Neutral Zone, and Wassaw.
It is perhaps most common in the Sefwhi, Wassaw, and Appolonia districts
which adjoin the French Ivory Coast, where cases are also known.
I look upon henpuye as a localized osteoplastic periostitis in the
region of the nasal process of the superior maxilla, generally
symmetrical, due to yaws, and found among the natives of West Africa and
the negroes of the West Indies.