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CASE REPORT The patient is an 84-year-old female who presented to the dermatology clinic complaining of a relatively new pruritic rash. She noted the rash had been present for three months and the itch was not relieved by over the counter topical steroids

Arch Dis Child 58:916920 Rashed MS, Ozand PT, Bucknall MP, Little D (1995) Diagnosis of inborn errors of metabolism from blood spots by acylcarnitines and amino acids profiling using automated electrospray tandem mass spectrometry

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