A 35 years old Malay lady presented with weakness of the legs when climbing stairs over the past 2 weeks. She has had no previous illness and are not on any medications. When she came to the outpatient clinic, you noted the above findings. Which of the following is true regarding the patient.
A. A DMARDs should be started immediately
B. The patient need to be counseled regarding risk of similar illness in her siblings and future offsprings
C. The lesions in the picture is a violaceous rash which would be very itchy
D. Intralesional triamcinolone would be part of the treatment
E. This patient would need steroids