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      fkadualemyefkadualemye
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      A 45 year old female who presented with progressive difficulty of standing from sitting , combing hair, and finally she was unable to sit. She has difficulty of swallowing of solid and semi solid foods.
      She has hypopigmented patchy skin rashes over the sun exposed areas(more on upper back and chest area)
      She has also periorbital swelling with erythematous rash over both eyelids.
      Her muscles are tender swollen and the overlying skin is erythematous.

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