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Beware the tree of heaven! (Ailanthus altissima)
  1. R Whiticar,
  2. C Harvey
  1. Emergency Department, Wycombe General Hospital, Reading, UK
  1. Dr R Whiticar, Emergency Department, Wycombe General Hospital, 20 Cadugan Place, Addington Road, Reading RG1 5PN, UK; rwhiticar{at}doctors.org.uk

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A 32-year-old tree surgeon presented to the emergency department with an 8-day history of a skin rash, which developed after he was exposed to the sap of the “tree of heaven” at work.

On examination he had a well-demarcated, urticarial, erythematous rash with multiple excoriations …

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