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Case 5. Bilateral dorsal PIPs and MCPs with erythematous, ulcerative lesions (A). Reverse Gottron’s lesions on bilateral palms and over PIP and DIP palmar creases (B). Erythematous rash overlying lateral thigh (Holster sign) (C). Erythematous macular rash over upper back (Shawl sign) (D). High resolution CT of lungs showing organizing pneumonia pattern concerning for progressive ILD (E)
