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BMJ 2009; 339 doi: (Published 28 October 2009) Cite this as: BMJ 2009;339:b4399
  1. Volha Shpadaruk, CT1 medicine/dermatology,
  2. Vinod Elangasinghe, specialist registrar dermatology
  1. 1University Hospitals of Leicester, Leicester Royal Infirmary, Leicester LE1 5WW
  1. shpadaruk{at}

    An 81 year old woman was referred by her general practitioner with bilateral periorbital puffiness and erythema of a year’s duration. She …

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