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Presence of anti-MDA5 antibodies should always be suspected when confronted to CADM patients with cutaneous ulcerations or ILD to allow a rapid and adapted treatment initiation. Copyright © 2020 Pacot, Pouchot, De Prost, Senant, Tartour, Le Pimpec-Barthes, Israel-Biet and Dragon-Durey.Tick-borne infections are an ever-increasing issue internationally, many factors contribute to this including a changing climate. Pregnant women represent the single largest vulnerable group in populations due to a relative immune deficiency status. Infect
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