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Three puzzling cases

BMJ 2004; 329 doi: (Published 08 July 2004) Cite this as: BMJ 2004;329:119
  1. George Dunea, attending physician

    The clinicopathological conference is a time honoured exercise in which a participant is given a clinical protocol and tries to make a diagnosis. It has been variously lauded as an instructive teaching exercise or derided as an unreal situation.

    The cases are often puzzling. What, for example, is one to make of a wasted man, deathly pale, with web-like thin hair, exaggerated sensitivity to noise, odours, light, or touch, where the course of the …

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