BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.d8206 (Published 04 January 2012) Cite this as: BMJ 2012;344:d8206
  1. Kate O’Dwyer, specialty trainee year 2 general practice,
  2. Kun Sen Chen, specialty trainee year 3 dermatology,
  3. Periasamy Balasubramaniam, consultant dermatologist
  1. 1Wrexham Maelor Hospital, Wrexham LL13 7TD, UK
  1. kunsen{at}hotmail.com

A 60 year old woman presented with a six month history of a non-itchy rash. She had been having endoscopic dilatation of …

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