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Sore shins

A 24-year-old has a fortnight of hot, painful red lumps on both shins, with a low fever and aching joints. Nothing has ulcerated.

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Presentation

A 24-year-old presents with two weeks of multiple tender, hot, red nodules over both shins, low-grade evening fevers and ankle arthralgia, three weeks after a sore throat and two months after starting the combined oral contraceptive.