From the ∗Department of Internal Medicine, Clinica SOMER, Rionegro †Department of Rheumatology, Universidad de Antioquia, Medellín ‡Department of Internal Medicine, Universidad Nacional de Colombia, Bogotá, Colombia The authors declare no conflict of interest. Written consent for publication of the photographs was obtained from the patient. All authors had full access to the full data and accept responsibility for submit the publication. The authors confirm that no portion of the data has been or will be published elsewhere while the manuscript was under review by the Journal of Clinical Rheumatology. The Ethics Committee of Clinica SOMER approved the publication of the manuscript. Fabio Torres-Saavedra ORCID iD: https://orcid.org/0000-0003-0385-8160 Correspondence: Fabio Torres-Saavedra, MD, Department of Internal Medicine, Clinica SOMER, Rionegro 054040, Colombia, Calle 29 # 41-98, Medellín 050010, Colombia. E-mail: [email protected].