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A 68-year-old woman with medical history of hypertension, chronic kidney disease and adrenal insufficiency, presented to the ED with progressive headache and left side facial pain for 2 days. Left eye tearing, tinnitus and otalgia were newly developed symptoms for 1 day. Examination of the tongue showed multiple vesicles and pustules on anterior two-thirds of the left side tongue (figure 1). No abnormality was noted …
Contributors My colleague and I provide equal contribution.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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