Fig. 4From: Progressive, refractory macrophage activation syndrome as the initial presentation of anti-MDA5 antibody positive juvenile dermatomyositis: a case report and literature reviewA Dorsum of patient’s hands at time of presentation with two small ulcerative lesions on each hand. B Dorsum of patient’s hands approximately 3 months after initiation of immunosuppressive treatments for JDM and MASBack to article page