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Early recognition of occult spinal dysraphism through cutaneous stigmata
  1. Manju Paul1,
  2. Helen Goodyear2,
  3. Desiderio Rodrigues3,
  4. Annette Loffeld1
  1. 1Department of Dermatology, Heart of England NHS Foundation Trust, Birmingham, UK
  2. 2Department of Paediatrics, Heart of England NHS Foundation Trust, Birmingham, UK
  3. 3Birmingham Children's Hospital, Birmingham, UK
  1. Correspondence to Dr Manju Paul, Department of Dermatology, Heart of England NHS Foundation Trust, Birmingham, UK; manjupaul{at}doctors.org.uk

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An 8-month-old girl born with a port wine stain and a dimple in the sacral area presented with a 5-month history of a gradually increasing swelling at this site. There was no history of fluid leak from the dimple; she had not been unwell and her …

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