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BMJ 2009; 338 doi: (Published 03 June 2009) Cite this as: BMJ 2009;338:b2166
  1. Clare Defty, dermatology registrar1,
  2. Muralidhar Sivaram, genito-urinary medicine registrar2,
  3. Keith W Radcliffe, consultant in genito-urinary medicine 2,
  4. Saleem M Taibjee, consultant dermatologist1
  1. 1Department of dermatology, Selly Oak Hospital, Birmingham B29 6JD
  2. 2Department of genito-urinary medicine, Whittall Street Clinic, Birmingham B4 6DH
  1. Clare Defty claredefty{at}

    A 16 year old woman presented to the dermatology department with an itchy and scaly annular rash on her palms that had not responded to …

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