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Ascending upper limb lymphangitis
  1. Leopold Simma1,2,
  2. Michael Joseph Barrett1,3
  1. 1Emergency Department, Royal Children’s Hospital Melbourne, Parkville, Victoria, Australia
  2. 2Emergency Department, Children’s Hospital, Luzerner Kantonsspital, Lucerne, Switzerland
  3. 3Emergency Department, Our Lady’s Children’s Hospital, Dublin, Ireland
  1. Correspondence to Dr Leopold Simma, leopold.simma{at}

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A 7-year-old boy presented with ascending erythema of his left hand with erythematous extension to his axilla. At presentation, the boy was afebrile, well appearing and complained of itching and swelling of the hand, which started the evening prior. On examination, there were two insect bite marks on the index …

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