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A 6-year-old girl was referred to the paediatrician with a 5-year history of erythema on both her cheeks precipitated by eating sweets, citrus fruit, grapes, tomato sauce, fruit-flavoured ice creams and spicy foods. She was born at term by normal vaginal delivery following an uneventful pregnancy. Her mother first noticed the condition when the girl was 6 months old after she had eaten fromage frais for the first time. It regularly appeared when she ate sweets or citrus fruits but never with bland food or drink. The erythema was not associated with pain or discomfort, redness of eyes or sweating. …
Competing interests None.
Patient consent Parental consent received.
Provenance and peer review Not commissioned; not externally peer reviewed.
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