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  Indian J Med Microbiol
 

Figure 1: (a) Dorsum of hands showing skin tightness; (b) distal end of digits showing ulceration; and (c) perioral skin stretching causing dental abnormalities

Figure 1: (a) Dorsum of hands showing skin tightness; (b) distal end of digits showing ulceration; and (c) perioral skin stretching causing dental abnormalities