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Images in paediatrics
A painless pigmented pinna lesion
  1. Yogesh M Bhatt
  1. Correspondence to Yogesh M Bhatt, Department of Paediatric Ear, Nose and Throat Surgery, Royal Manchester Children's Hospital, Oxford Road, Manchester M13 9WL, UK; bhatt_ym{at}yahoo.co.uk

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Case report

A 15-year-old boy presented with a 2-month history of a painless lesion on the right earlobe and multiple neck lumps. He had emigrated from Pakistan 4 years earlier and had received the Bacillus Calmette–Guérin (BCG) vaccine at birth. He denied systemic or respiratory symptoms. On examination, a 14 mm soft painless pigmented lesion on the …

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