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Juvenile dermatomyositis with tongue calcinosis and poor growth
  1. D Maritsi,
  2. A Leahy,
  3. C A Pilkington
  1. Department of Rheumatology, Great Ormond Street Hospital for Children NHS Trust, London, UK
  1. Correspondence to Dr Despoina Maritsi, Department of Rheumatology, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, UK; maritd{at}gosh.nhs.uk

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A 9-year-old boy presented with an 18-month history of faltering growth, recurrent respiratory tract infections, persistent ‘apthous’ ulcer on his tongue and ‘warts’ on his fingertips and soles.

He is the second offspring of a healthy unrelated Sri Lankan couple and past medical history was unremarkable. Baseline immunology and infectious disease screen were negative. On close questioning the patient had …

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