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Images in paediatrics
Systemic lupus erythematosus: not just a rash
  1. Erwin Jiayuan Khoo
  1. Correspondence to Dr Erwin Jiayuan Khoo, Department of Paediatrics, School of Medicine, International Medical University, Jalan Rasah, 70300 Seremban, Negeri Sembilan DK, Malaysia; jiayuan_khoo{at}, erwinkhoo{at}

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A previously healthy 11-year-old Chinese girl presented to the accident and emergency department with a 4-month history of persistent rashes over her palms and soles, and a 1-week history of malaise and low-grade fever. Her general practitioner had suggested that the rash could have been caused by hand, foot and mouth disease. On examination, she had non-blanching erythematous macular lesions with few palpable crusted purpura over …

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