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Well, to be fair, I know what this patient has, but I don't know whether it is apparent from the image. There are two conditions to be diagnosed, not one. I also mixed up the symptoms of the two conditions to make this harder.
Re: the first condition -- patient has ugly purple blotches that appear on face, arms and other parts of body periodically, particularly when under great stress. They go away eventually. Extreme muscle pain and weakness associated with these flare-ups.
The second unrelated condition was diagnosed from imaging taken to determine whether the first condition is affecting the brain; the imaging was not done because there were symptoms of the second condition.
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