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A 4-year-old girl with malaise, squint and restricted neck movement
  1. Charlotte Wyatt1,
  2. Mark Tighe2
  1. 1Department of Dermatology, PA Hospital, Brisbane, Queensland, Australia
  2. 2Department of Paedaitrics, Poole District Hospital, Poole, UK
  1. Correspondence to Dr Charlotte Wyatt, Department of Dermatology, PA Hospital, Brisbane, Queensland, Australia; charlotte.wyatt1234{at}

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Case history

A 4-year-old girl presented with lethargy and anorexia, increasing in severity over the last few days. The child had been complaining of generalised joint pains and felt unable to move her neck. Also she complained of episodes of blurred vision, headaches and her mother reported a new onset squint. On further questioning, …

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