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A 12-year-old boy, 3 months following matched unrelated haematopoietic stem-cell transplantation (HSCT) for relapsed acute myeloid leukaemia with inv(16)(p13.1q22) developed a rapidly spreading, severely pruritic right sided C3-C4 shingles. Despite early intravenous aciclovir (10 mg/kg, three times a day), he developed full C3-C4 dermatome skin erosion to the dermis with secondary hair loss extending to …
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