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BMJ 2008; 337 doi: (Published 01 July 2008) Cite this as: BMJ 2008;337:a587
  1. Susannah Hoey, consultant dermatologist,
  2. Sai Yee Chuah, specialist trainee year 2,
  3. Helen Poole, foundation year 2 trainee,
  4. Sam Allen, consultant physician
  1. 1Crosshouse Hospital, Kilmarnock KA2 0BE
  1. Susannah.hoey{at}

    A 50 year old woman presented acutely with a rash and systemic upset. She was taking methotrexate for her arthritis and …

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