PMC5742400_01
Skin rashes of the patient. Heliotrope rash (A) and Gottron's sign on the hand (B) and elbow (C) were noted.
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PMC5742400_01_1349-7235-56-3237-g001.jpg
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When dexamethasone was subsequently reduced to 8 mg/day, she developed heliotrope rash and Gottron's sign (Fig. 1).
Clinical course of the patient. CsA: cyclosporine A, IVIG: intravenous immunoglobulin
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The abnormal findings and their responsiveness to the treatments are depicted in Fig. 2.