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Ten puffs too many
  1. R Patel,
  2. S J Potter
  1. Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK;

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An 11 year old boy with chronic asthma was discovered to have multiple burn marks to the dorsum of his left hand. Initial presentation to the GP surgery was for another reason and these findings were noted on examination (fig).

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On questioning the boy about the marks he boastfully replied that they were …

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