PMC4293555_01
There were diffuse erythematous patches on both cheeks connecting over the nose, i.e., the typical butterfly-shaped malar rash.
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PMC4293555_01_kjim-30-131-g001.jpg
F1
On physical examination, there was a typical malar rash on her face (Fig. 1).
The plain radiograph of both hands shows joint space narrowing at the 2nd to 5th proximal interphalangeal joints and marginal erosion and joint space narrowing at the 1st to 5th metacarpophalangeal, and carpal joints, and periarticular osteopenia bilaterally.
kjim-30-131-g002.jpg
PMC4293555_01_kjim-30-131-g002.jpg
F2
Plain radiographs of both hands showed periarticular osteopenia, joint space narrowing, and marginal erosions at the MCP, PIP, and carpal joints (Fig. 2).