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BMJ 2012; 344 doi: (Published 22 February 2012) Cite this as: BMJ 2012;344:e1194
  1. Eleanor M Phillips, fourth year medical student1,
  2. C Kirwan, national oncoplastic breast fellow2,
  3. Sharon Melmore, specialist registrar in histopathology3,
  4. L Chagla, consultant breast and general surgeon, 3
  1. 1Medical School, University of Sheffield, Sheffield
  2. 2Education and Research Centre, University Hospital of South Manchester, Manchester M23 9LT, UK
  3. 3Burney Breast Unit, St Helens Hospital, St Helens
  1. cliona.kirwan{at}

A 76 year old woman had a longstanding erythematous eczematous rash in her left axilla that was unresponsive to topical steroids. Punch biopsy …

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