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An unforgettable patient: Never give up trying

BMJ 1997; 314 doi: (Published 17 May 1997) Cite this as: BMJ 1997;314:h
  1. J A Kuzemko, is a retired consultant paediatrician in Peterborough

    Paediatric medicine throws up occasionally a puzzling problem or an unexplained phenomenon which you encounter once or twice in your professional career. Mine occurred in the year I became a consultant paediatrician. I am thankful that I have not encountered a similar problem ever since.

    In the summer of 1968 a general practitioner referred Jane to me—a 10 year old who, during the recent holidays abroad, developed a recurrent skin rash and joint pains. The clinical history was consistent with a diagnosis of Henoch-Schonlein purpura despite the absence of any positive physical …

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