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Images in paediatrics
The fastener that left its mark
  1. Divya Gurudutt,
  2. Neelmanee Ramphul
  1. Department of Paediatrics, University Hospital of North Tees, Stockton-on-Tees, UK
  1. Correspondence to Dr Divya Gurudutt, Department of Paediatrics, University Hospital of North Tees, 22, Newstead Road, Newcastle Upon Tyne, NE13 9AX, UK; divya.gurudutt{at}

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A 4-month-old baby was referred by children’s services for assessment of a lesion on her cheek to exclude a non-accidental burn. She was being treated for oral candidiasis. The family was receiving support from social services.

On examination, a single lesion consisting of two concentric, well-demarcated circles measuring 0.5 cm in diameter was found on her right cheek (figure 1 …

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  • Contributors NR is the Consultant Paediatrician and provided guidance for drafting and finalising the images and written information.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.