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BMJ 2009; 338 doi: (Published 09 June 2009) Cite this as: BMJ 2009;338:b2300
  1. Sharmila Madhogaria, specialty registrar,
  2. Alena Salim, consultant
  1. 1Department of dermatology, Heart of England NHS Foundation Trust, Solihull Hospital, Solihull B91 2JL
  1. sharmilaskin{at}

    A 40 year old man presented with a six week history of a mildly painful enlarging ulcer on his …

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