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Painful leg lesions in a young woman
  1. Nicolas Hanset1,
  2. Halil Yildiz1
  1. 1Departement of Internal Medicine, Saint-Luc University Hospital, Brussels, Belgium
  1. Correspondence to Dr Halil Yildiz, Departement of Internal Medicine, Saint-Luc University Hospital, Avenue Hippocrate 10, Brussels 1200, Belgium; halil.yildiz{at} or h_tur.bel{at}

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Clinical introduction

A 27-year-old woman presented with persisting painful leg lesions despite 14 days of antibiotic therapy with amoxicillin clavulanate prescribed for presumptive bilateral leg cellulitis. There was no fever or other systemic symptoms. Her medical history was unremarkable and her only medication was a contraceptive pill she had been taking for 3 months. Physical examination showed painful, warm and erythematous plaques with confluent palpable nodules on both lower limbs (figure 1 …

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  • Competing interests None declared.

  • Patient consent Obtained.

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