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  Indian J Med Microbiol
 

Figure 1: Patient's clinical features – (a) A child with contracted knuckles edematous skin, swollen MCPs, proximal phalanges and wrists, (b) Koebner's phenomenon, (c) improvement in edema and knuckle contractures and positive prayer sign

Figure 1: Patient's clinical features – (a) A child with contracted knuckles edematous skin, swollen MCPs, proximal phalanges and wrists, (b) Koebner's phenomenon, (c) improvement in edema and knuckle contractures and positive prayer sign