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A 2½-year-old previously well Afro-Caribbean girl presented with a 1-week history of fever and a generalised non-healing, painful and itchy ulceration on the body 3 weeks after acute varicella infection. On examination, she had multiple punched-out ulcers on her torso measuring 0.5–2 cm in diameter associated with central necrosis (figure 1). She had a normal white cell count and inflammatory markers. Her varicella …
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