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\i0\ul0\strike0 oral\f0\fs18\cf0\b0\i0\ul0\strike0 hydroxyzine\f0\fs18\cf0\b0\
i0\ul0\strike0 25\f0\fs18\cf0\b0\i0\ul0\strike0 mg\f0\fs18\cf0\b0\i0\ul0\strik
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\cf0\b0\i0\ul0\strike0 oral\f0\fs18\cf0\b0\i0\ul0\strike0 prednisolone\f0\fs18
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l0\strike0 tapered\f0\fs18\cf0\b0\i0\ul0\strike0 gradually,\f0\fs18\cf0\b0\i0\
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with\f0\fs18\cf0\b0\i0\ul0\strike0 local\f0\fs18\cf0\b0\i0\ul0\strike0 clobet
asol\f0\fs18\cf0\b0\i0\ul0\strike0 propionate\f0\fs18\cf0\b0\i0\ul0\strike0 0.
05%\f0\fs18\cf0\b0\i0\ul0\strike0 cream\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\f
s18\cf0\b0\i0\ul0\strike0 emol-\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\i0\
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d\plain\li0\sl-217\column\f0\fs18\cf0\b0\i0\ul0\strike0 Written\f0\fs18\cf0\b0\i
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patient\par\pard\plain\li0\sl-235\f0\fs18\cf0\b0\i0\ul0\strike0 for\f0\fs18\cf0\
b0\i0\ul0\strike0 publication\f0\fs18\cf0\b0\i0\ul0\strike0 of\f0\fs18\cf0\b0\
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any\f0\fs18\cf0\b0\i0\ul0\strike0 accompanying\par\pard\plain\li0\sl-235\f0\fs
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\i0\ul0\strike0 copy\f0\fs18\cf0\b0\i0\ul0\strike0 of\f0\fs18\cf0\b0\i0\ul0\st
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consent\f0\fs18\cf0\b0\i0\ul0\strike0 is\f0\fs18\cf0\b0\i0\ul0\strike0 availa
ble\f0\fs18\cf0\b0\i0\ul0\strike0 for\par\pard\plain\li0\sl-235\f0\fs18\cf0\b0\
i0\ul0\strike0 review\f0\fs18\cf0\b0\i0\ul0\strike0 by\f0\fs18\cf0\b0\i0\ul0\st
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strike0 of\f0\fs18\cf0\b0\i0\ul0\strike0 this\f0\fs18\cf0\b0\i0\ul0\strike0 j
ournal.\par\pard\plain\sl-291\par\pard\plain\li0\sl-195\f0\fs20\cf0\b\i0\ul0\str
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w310\colsr10\colno3\colw5640\pard\plain\li1082\sl-218\f0\fs18\cf0\b0\i0\ul0\stri
ke0 courses,\f0\fs18\cf0\b0\i0\ul0\strike0 but\f0\fs18\cf0\b0\i0\ul0\strike0 t
here\f0\fs18\cf0\b0\i0\ul0\strike0 were\f0\fs18\cf0\b0\i0\ul0\strike0 relapses
\f0\fs18\cf0\b0\i0\ul0\strike0 soon\f0\fs18\cf0\b0\i0\ul0\strike0 after.\f0\fs
18\cf0\b0\i0\ul0\strike0 Tonsillectomy\par\pard\plain\li1082\sl-233\f0\fs18\cf0
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strike0 final\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\fs18\cf0\b0\i0\ul0\strike0
definitive\f0\fs18\cf0\b0\i0\ul0\strike0 treatment\f0\fs18\cf0\b0\i0\ul0\strik
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18\cf0\b0\i0\ul0\strike0 our\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\i0\ul0
\strike0 patient,\f0\fs18\cf0\b0\i0\ul0\strike0 as\f0\fs18\cf0\b0\i0\ul0\strike
0 may\f0\fs18\cf0\b0\i0\ul0\strike0 be\f0\fs18\cf0\b0\i0\ul0\strike0 evidence
d\f0\fs18\cf0\b0\i0\ul0\strike0 from\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18
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patient\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0
\fs18\cf0\b0\i0\ul0\strike0 follow-up\f0\fs18\cf0\b0\i0\ul0\strike0 of\f0\fs18
\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 disease.\f0\fs18\cf0\
b0\i0\ul0\strike0 Pre-operatively,\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\
i0\ul0\strike0 we\f0\fs18\cf0\b0\i0\ul0\strike0 could\f0\fs18\cf0\b0\i0\ul0\str
ike0 not\f0\fs18\cf0\b0\i0\ul0\strike0 prove\f0\fs18\cf0\b0\i0\ul0\strike0 th
at\f0\fs18\cf0\b0\i0\ul0\strike0 chronic\f0\fs18\cf0\b0\i0\ul0\strike0 tonsill
itis\f0\fs18\cf0\b0\i0\ul0\strike0 was\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs
18\cf0\b0\i0\ul0\strike0 cause\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\i0\u
l0\strike0 of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0
skin\f0\fs18\cf0\b0\i0\ul0\strike0 disease.\f0\fs18\cf0\b0\i0\ul0\strike0 Neve
rtheless,\f0\fs18\cf0\b0\i0\ul0\strike0 tonsillectomy\f0\fs18\cf0\b0\i0\ul0\str
ike0 was\f0\fs18\cf0\b0\i0\ul0\strike0 indi-\par\pard\plain\li1082\sl-235\f0\f
s18\cf0\b0\i0\ul0\strike0 cated\f0\fs18\cf0\b0\i0\ul0\strike0 owing\f0\fs18\cf0
\b0\i0\ul0\strike0 to\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\
strike0 chronic\f0\fs18\cf0\b0\i0\ul0\strike0 infection\f0\fs18\cf0\b0\i0\ul0\
strike0 in\f0\fs18\cf0\b0\i0\ul0\strike0 conjunction\f0\fs18\cf0\b0\i0\ul0\str
ike0 with\par\pard\plain\li1082\sl-233\f0\fs18\cf0\b0\i0\ul0\strike0 elevated\f
0\fs18\cf0\b0\i0\ul0\strike0 ASTO.\f0\fs18\cf0\b0\i0\ul0\strike0 Eradication\f
0\fs18\cf0\b0\i0\ul0\strike0 of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\
b0\i0\ul0\strike0 streptococcal\f0\fs18\cf0\b0\i0\ul0\strike0 foci\f0\fs18\cf0
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sillectomy\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\fs18\cf0\b0\i0\ul0\strike0 the
\f0\fs18\cf0\b0\i0\ul0\strike0 ASTO\f0\fs18\cf0\b0\i0\ul0\strike0 was\f0\fs18\
cf0\b0\i0\ul0\strike0 decreased,\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\i0
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trike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 disappearance\f0\fs18\cf0\b0\i0\ul0\s
trike0 of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 les
ions.\par\pard\plain\sl-284\par\pard\plain\li1082\sl-185\f0\fs18\cf0\b0\i0\ul0\s
trike0 Therefore,\f0\fs18\cf0\b0\i0\ul0\strike0 it\f0\fs18\cf0\b0\i0\ul0\strike
0 may\f0\fs18\cf0\b0\i0\ul0\strike0 be\f0\fs18\cf0\b0\i0\ul0\strike0 safely\f
0\fs18\cf0\b0\i0\ul0\strike0 concluded\f0\fs18\cf0\b0\i0\ul0\strike0 that\f0\f
s18\cf0\b0\i0\ul0\strike0 streptococcus\par\pard\plain\li1082\sl-235\f0\fs18\cf
0\b0\i0\ul0\strike0 was\f0\fs18\cf0\b0\i0\ul0\strike0 at\f0\fs18\cf0\b0\i0\ul0\
strike0 least\f0\fs18\cf0\b0\i0\ul0\strike0 one\f0\fs18\cf0\b0\i0\ul0\strike0
of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 causes\f0\
fs18\cf0\b0\i0\ul0\strike0 of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0
\i0\ul0\strike0 disease,\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\fs18\cf0\b0\i0\u
l0\strike0 possibly\par\pard\plain\li1082\sl-233\f0\fs18\cf0\b0\i0\ul0\strike0
the\f0\fs18\cf0\b0\i0\ul0\strike0 only\f0\fs18\cf0\b0\i0\ul0\strike0 cause.\f0
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18\cf0\b0\i0\ul0\strike0 causes\f0\fs18\cf0\b0\i0\ul0\strike0 or\f0\fs18\cf0\b
0\i0\ul0\strike0 aggravating\f0\fs18\cf0\b0\i0\ul0\strike0 fac-\par\pard\plain
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of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 skin\f0\fs
18\cf0\b0\i0\ul0\strike0 disease\f0\fs18\cf0\b0\i0\ul0\strike0 may\f0\fs18\cf0
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i0\ul0\strike0 atopy,\f0\fs18\cf0\b0\i0\ul0\strike0 emo-\par\pard\plain\li1082
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ss\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18
\cf0\b0\i0\ul0\strike0 car\f0\fs18\cf0\b0\i0\ul0\strike0 accident\f0\fs18\cf0\
b0\i0\ul0\strike0 that\f0\fs18\cf0\b0\i0\ul0\strike0 our\f0\fs18\cf0\b0\i0\ul0
\strike0 patient\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\i0\ul0\strike0 exp
erienced\f0\fs18\cf0\b0\i0\ul0\strike0 prior\f0\fs18\cf0\b0\i0\ul0\strike0 to\
f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 initial\f0\fs1
8\cf0\b0\i0\ul0\strike0 clinical\f0\fs18\cf0\b0\i0\ul0\strike0 manifestations.
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Conclusion\par\pard\plain\li1082\sl-217\f0\fs18\cf0\b0\i0\ul0\strike0 We\f0\fs1
8\cf0\b0\i0\ul0\strike0 have\f0\fs18\cf0\b0\i0\ul0\strike0 reported\f0\fs18\cf
0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 case\f0\fs18\cf0\b0\i0\u
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atient\f0\fs18\cf0\b0\i0\ul0\strike0 with\f0\fs18\cf0\b0\i0\ul0\strike0 PN,\f0
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who\f0\fs18\cf0\b0\i0\ul0\strike0 was\f0\fs18\cf0\b0\i0\ul0\strike0 finally\f
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lain\li1082\sl-235\f0\fs18\cf0\b0\i0\ul0\strike0 sillectomy.\f0\fs18\cf0\b0\i0\u
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0\strike0 and\f0\fs18\cf0\b0\i0\ul0\strike0 possible\f0\fs18\cf0\b0\i0\ul0\str
ike0 emotional\f0\fs18\cf0\b0\i0\ul0\strike0 stress\par\pard\plain\li1082\sl-2
35\f0\fs18\cf0\b0\i0\ul0\strike0 may\f0\fs18\cf0\b0\i0\ul0\strike0 have\f0\fs18
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f0\b0\i0\ul0\strike0 factors\f0\fs18\cf0\b0\i0\ul0\strike0 but\f0\fs18\cf0\b0\
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s18\cf0\b0\i0\ul0\strike0 aetiology.\f0\fs18\cf0\b0\i0\ul0\strike0 To\f0\fs18\c
f0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0 best\f0\fs18\cf0\b0\i0\
ul0\strike0 of\f0\fs18\cf0\b0\i0\ul0\strike0 the\f0\fs18\cf0\b0\i0\ul0\strike0
authors'\f0\fs18\cf0\b0\i0\ul0\strike0 knowledge,\f0\fs18\cf0\b0\i0\ul0\strik
e0 after\f0\fs18\cf0\b0\i0\ul0\strike0 the\par\pard\plain\li1082\sl-235\f0\fs1
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sl-233\f0\fs18\cf0\b0\i0\ul0\strike0 and\f0\fs18\cf0\b0\i0\ul0\strike0 PN\f0\fs
18\cf0\b0\i0\ul0\strike0 by\f0\fs18\cf0\b0\i0\ul0\strike0 Drake\f0\fs18\cf0\b0
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nic\par\pard\plain\li1082\sl-235\f0\fs18\cf0\b0\i0\ul0\strike0 tonsillitis\f0\fs
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b0\i0\ul0\strike0 [8],\f0\fs18\cf0\b0\i0\ul0\strike0 this\f0\fs18\cf0\b0\i0\ul
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Prurigo

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Prurigo

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