Mm-hmm

... it's not common in dermatomyositis, but it can happen.

It can happen in, in lupus.

So if you feel that the lesion is firm and indurated, and it feels like most of it's, you know, deep underneath the skin, then you're gonna need to get a deeper punch, maybe that double punch, to include some of the fat.

Um, [clears throat] and there is a form of lupus, lupus profundus.

I like saying that.

It's kinda fun.

Do you like one or the other? Combination of both? What is your take on that?