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A 7 year old boy presented with a four week history of nocturnal back pain, weight loss, lethargy, intermittent temperatures, and new onset of scoliosis. On examination, he was clinically anaemic and cachectic, with widespread lymphadenopathy. There was an ill defined fibrous feeling mass overlying the right 7th–10th postero-lateral rib …
Competing interests: none declared
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