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(A) Scratch marks, erosions, cicatrization healing (scars) due to self-inflicted soft tissue trauma, nasal columella defect and keratitis. (B) Abnormal profile, limitation of mouth opening. (C) A cranial CT scan and reconstruction of head. (D) Lichenification, missing tips of right index fingers, and the deformed nail and left digitus minimus. (E) Radiograph of the hand and wrist bones.
