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Images in paediatrics
Lupus vulgaris and disseminated BCG
  1. Sarah Band1,
  2. Francis J Gilchrist2,3
  1. 1 Paediatric Department, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK
  2. 2 Institute of Applied Clinical Science, Keele University, Keele, UK
  3. 3 Paediatric Respiratory Medicine, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK
  1. Correspondence to Dr Sarah Band, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent ST4 6QG, UK;{at}

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A 3-year-old boy was found to have a non-tender, bony swelling at the base of his right thumb after presenting to A&E with an unrelated injury. The swelling had been present for 6 months and was increasing in size. An X-ray showed an enlarged right first metacarpal containing lytic and sclerotic areas suggestive of chronic osteomyelitis (figure 1A). A raised red/purple plaque was also noted on the lateral aspect of the left upper arm (figure …

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  • Contributors FJG is the lead consultant for this child. SB wrote the first draft of this article. SB and FJG edited subsequent drafts and have both approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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