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BMJ 2010; 340 doi: (Published 16 March 2010) Cite this as: BMJ 2010;340:c1456
  1. Robert Ellis, ST4,
  2. Andrew J Carmichael, consultant
  1. 1Department of Dermatology, James Cook University Hospital, Middlesborough TS4 3BW
  1. robellis{at}

    A 48 year old woman presented with a nine month history of a facial rash triggered by minor trauma such as washing her …

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