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This case presentation shows not only the seldom-seen natural progression of the rodent ulcer with impressive imaging and clinical photographs but also highlights a broader topic of capacity and consent in patients displaying maladaptive denial or abnormal illness behaviour, how this can affect patient outcomes and what we as clinicians can do to ensure the best care for our patients.<\/jats:p>","DOI":"10.1136\/bcr-2020-234456","type":"journal-article","created":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T02:31:13Z","timestamp":1598495473000},"page":"e234456","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Erosive rodent ulcer of the ear secondary to neglect"],"prefix":"10.1136","volume":"13","author":[{"given":"Sarah Louise","family":"Gillanders","sequence":"first","affiliation":[{"name":"ENT, Royal College of Surgeons in Ireland, Dublin, Ireland"},{"name":"ENT, Waterford University Hospital, Waterford, 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