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Elderly woman with headache
  1. Kuo-Chang Lee,
  2. Wei-Jing Lee
  1. Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
  1. Correspondence to Dr Wei-Jing Lee, Emergency Medicine, Chi-Mei Medical Center, Tainan 710, Taiwan; saab931103{at}

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Clinical introduction

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 …

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  • 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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