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A previously healthy 5-year-old boy presented to the emergency department with a non-traumatic painful oedema and purpuric rash of the penis, but no discomfort on micturition (figure 1). Examination revealed petechial rash on both legs and swelling of the right hand. A week earlier, he had suffered from an acute obstructive bronchitis, treated with salbutamol but no steroids. Urinalysis, full blood …
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