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The practice of dermatology is not normally associated with the emergency room. Nevertheless, persons with acute dermatologic problems regularly crop up in the casualty department, and an informal survey of my own accident and emergency department at St. Thomas's Hospital indicates that about 20 percent of all cases involve a skin problem. I recollect, during my years as a dermatology registrar at the Royal Victoria Infirmary, Newcastle upon Tyne, being frequently called in to see members of a large family with hereditary angioedema, always on a Friday night. It turned out that they regularly got involved in punch-ups at the
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N Engl J Med 1998;
338:1927, Jun 25, 1998.
Correspondence
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