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  1. Theocharis Papanikolaou1,
  2. Siddharth Goel2,
  3. D Gerard R Jayamanne3,
  4. Hardeep Mudhar4,
  5. Shrivatsa P Desai3
  1. 1Addenbrooke's Teaching Hospital, Cambridge, UK
  2. 2Diana Princess of Wales Hospital, Grimsby, UK
  3. 3Doncaster and Bassetlaw Hospitals, Doncaster, UK
  4. 4Sheffield Teaching Hospitals, Sheffield, UK
  1. Correspondence to Theocharis Papanikolaou, Addenbrooke's Teaching Hospital, 187B Newmarket Road, Cambridge CB5 8HA, UK; papanikolaou{at}doctors.net.uk

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We would like to thank Khan et al for their interest in our article and the useful comments.1

In our cases,2 apart from the phenotypic appearances the diagnosis was also based on histological findings from case no. 2.

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  • Competing interests None.

  • Provenance and peer review Commissioned; not externally peer reviewed.

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