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  • Acknowledgements Raymond Mcleod, photographer.

  • Collaborators Pierre Rautenbach; Fiona Irvine.

  • Contributors TF and PR drafted the case report. FI reviewed the case report. All the authors considered the case report in the context of the literature prior to submission.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.