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Palpation reveals the diagnosis
  1. V M McClelland,
  2. D S K Brookfield
  1. University Hospital of North Staffordshire, Neonatal Intensive Care Unit, City General Hospital, Newcastle Road, Stoke on Trent ST4 6QG, UK; verity@betterley.co.uk

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A 10 month old boy was referred with recurrent urticaria. There had been five episodes over two months, one associated with facial swelling and respiratory distress. Each episode responded quickly to antihistamines. On examination there was a 3×1.5 cm flat brown birthmark on his lower back. Gentle palpation triggered this dramatic urticarial …

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  • Competing interests: none