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A 34-year-old woman presented with recurrent syncope.
Electrocardiogram revealed complete heart block. Dual-chamber pacemaker was implanted. Two months later she returned with recurrent syncope. Pacemaker was functioning normally, but she had repeated episodes of ventricular tachycardia (VT). Her echocardiography, chest X-ray and biochemical parameters were within normal limits.
She had lupus pernio in her nose this …
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