Intended for healthcare professionals

Endgames Case Scenario

Merkel cell carcinoma mistaken for allergic contact dermatitis

BMJ 2015; 351 doi: (Published 30 October 2015) Cite this as: BMJ 2015;351:h4635
  1. Emily Craven, senior house officer1,
  2. Anton Alexandroff, consultant dermatologist2,
  3. J K David Liu, senior house officer3,
  4. Stephen Hillier, clinical fellow in human factors and simulation4
  1. 1Department of General Surgery, Southland Hospital, Invercargill, 9810, New Zealand
  2. 2Department of Dermatology, University Hospitals of Leicester, UK
  3. 3Department of Emergency Medicine, Southland Hospital, Invercargill, New Zealand
  4. 4Department of Clinical Education, Northampton General Hospital, UK
  1. Correspondence to: E Craven ejc4848{at}

A 91 year old woman presented to the emergency department with a five day history of an erythematous rash. She was diagnosed as having allergic contact dermatitis, but …

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