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A 9-year-old boy was assessed after experiencing a 2-year history of swelling and burning sensations on the dorsal surface of both hands, his face and his nose. His symptoms developed from the age of 2 years, were always associated with exposure to sun or warm temperature and would last up to …
Contributors PSB, MM, and MVG were involved in clinical management of the patient. PSB wrote the paper. AB supervised the work and followed the patient. AP and GB worked on biochemical data and their interpretation and AV followed the patient.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.