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BMJ 2011; 343 doi: (Published 10 August 2011) Cite this as: BMJ 2011;343:d5018
  1. R Gardner, specialty trainee year 3,
  2. C Dwyer, consultant, department of dermatology,
  3. A Hart, consultant hand and plastic surgeon
  1. 1Crosshouse Hospital, Kilmarnock, Scotland, UK
  1. rgardner{at}

A 70 year old woman on long term methotrexate and prednisolone for rheumatoid arthritis presented with a …

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