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A persistent facial rash turned out to be dermatomyositis:

Milind A Patvekar ; Urvi N Panchal ; Kedarnath Dash.
http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2015;volume=8;issue=1;spage=118;epage=119;aulast=Patvekar.  , 2015
Link: https://doi.org/10.4103/0975-2870.148874