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. 2022 Jul 16;27:67–69. doi: 10.1016/j.jdcr.2022.07.013

Fig 1.

Fig 1

A, July 2017 initial evaluation at our institution: Persistent tongue ulceration despite 7 months of prednisone 20 mg daily and methotrexate 20 mg weekly. B, October 2018. Persistent ulcers on the tongue after 12 months of rituximab/IVIG and 5 months of oral MMF 1000 mg twice daily. C, October 2021. Improvement in tongue ulceration after 20 months of baricitinib 2 mg daily and 8 months of methotrexate weekly. D, June 2022. Minimal ulceration on the tongue, after 27 months of baricitinib 2 mg daily and 16 months of methotrexate weekly and 2 intralesional triamcinolone 10 mg/cc injections. IVIG, Intravenous immunoglobulin; MMF, mycophenolate mofetil.