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Article History

Received: 2 May 2018

Accepted: 29 October 2018

First Online: 19 November 2018

Authors’ information

: The authors represent the complexity in managing this case across multiple hospital sites and specialities. Respiratory speciality input has been provided both at Belfast City Hospital, Belfast (CA, GD, SC and DGD) and at Royal Brompton and Harefield Hospital London (AJ) with Rheumatology specialist input provided at Musgrave Hospital, Belfast (GW).

: Not Applicable.

: Written informed consent for publication of their clinical details and/or clinical images was obtained from the patient. A copy of the consent form is available for review by the Editor of this journal.

: The authors declare that they have no competing interests.

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