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A 44-year-old man presented to the emergency department with a 4-month history of worsening exertional dyspnoea which coincided with the development of skin lesions overlying a tattoo which he had for 7 years on his right leg (figure 1). Chest examination revealed fine crepitations on lung bases.
Contributors AM and PL were involved in preparing and critical review of the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.