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Clinical presentation. (A) Irregular plaque at the anterior neck, (B) lesion neck healed, (C) wooden hard skin, most severe at the hips and lower back, only sparing face, hands, feet and neck, (D) after 4 months of treatment with systemic glucocorticoids, methotrexate and tocilizumab softening of the skin. mRSS, modified Rodnan Skin Score.
