A 66-year-old woman
๐ 7-month history of pruritic rash
๐ 7-month history of pruritic rash
๐ had previously received a diagnosis of eczema and received treatment with topical glucocorticoids, without improvement.
๐ also reported fatigue, shortness of breath, and muscle weakness
๐ also reported fatigue, shortness of breath, and muscle weakness
๐ examination๐ presence of hyperpigmented, erythematous papules overlying the metacarpophalangeal and interphalangeal joints of both hands,
๐findings consistent with Gottronโs papules (A);
๐ dilated capillaries of the proximal nail folds (B);
๐ dyschromic patches, plaques, and poikiloderma on the postr shoulders, ๐ shawl sign (C);
๐poikilodermatous, dyschromic changes of the lateral thighs๐ Holster sign (D)
๐ dilated capillaries of the proximal nail folds (B);
๐ dyschromic patches, plaques, and poikiloderma on the postr shoulders, ๐ shawl sign (C);
๐poikilodermatous, dyschromic changes of the lateral thighs๐ Holster sign (D)
๐ strength in the proximal arms and legs was 3 out of 5
Dx dermatomyositis
๐ Given the association between dermatomyositis and certain cancers
๐ evaluated for underlying cancer
๐ results of the evaluation were negative
Dx dermatomyositis
๐ Given the association between dermatomyositis and certain cancers
๐ evaluated for underlying cancer
๐ results of the evaluation were negative
๐depending on dermatologic skin type, the rash can have varied presentations
๐ hyperpigmentation and dyschromia or marked erythema with violaceous changes
๐ hyperpigmentation and dyschromia or marked erythema with violaceous changes
๐ 3-month course of mycophenolate mofetil, intravenous immune globulin, and prednisone was initiated,
๐ the glucocorticoids were tapered during this time
๐ resolution of the dyspnea, weakness, and cutaneous findings.
๐ the glucocorticoids were tapered during this time
๐ resolution of the dyspnea, weakness, and cutaneous findings.
Dermatomyositis
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