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Case 5, (27th Annual Uniformed Services Dermatology Seminar, 2003) DERMATOMYOSITIS

Twede JVT - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Case 5, (27th Annual Uniformed Services Dermatology Seminar, 2003) DERMATOMYOSITIS

History: History: A 55 year old Caucasian female with a nine year history of dermatomyositis.

Findings: Labs: ANA positive 1:320 speckled; Anti-RNP, Anti-Smith, Anti-Ro/La, Anti-Jo antibodies negative; MRI of lower extremities demonstrated extensive atrophy with minimal inflammation; EMG consistant with myopathic disease; history of slightly elevated CK and aldolase when symptomatic; hepatitis panel negative. Histopathology: The biopsy shows epidermal atrophy with compact orthokeratotic hyperkeratosis, focal vacuolar interface dermatitis, dilated vessels, and an increase in dermal interstitial mucin.

Ddx: • SLE •rosacea •drug eruption

Dxhow: clinicopathologic correlation

Exam: Examination: Scalp: diffuse nonscarring alopecia, erythema and fine scales Face: heliotrope eruption on eyelids Arms: large violacious lichenified plaques in a photo- distrubution Back: diffuse erythematous patch in a shawl-like distribution Hands: erythematous extensor tendon plaques; Gottron's papules over MCP and PIP joints Fingernails: proximal nail folds with dilated and tortuous capillaries with dropout and ragged cuticles Legs: violaceous plaques on knees and extensor thighs

No MeSH data available.


Scalp: diffuse nonscarring alopecia, erythema and fine scales Face: heliotrope eruption on eyelids Arms: large violacious lichenified plaques in a photo- distrubution Back:: diffuse erythematous patch in a shawl-like distribution Hands: erythematous extensor tendon plaques; Gottron's papules over MCP and PIP joints Fingernails: proximal nail folds with dilated and tortuous capillaries with dropout and ragged cuticles Legs: violaceous plaques on knees and extensor thighs
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MPX1798_synpic23382: Scalp: diffuse nonscarring alopecia, erythema and fine scales Face: heliotrope eruption on eyelids Arms: large violacious lichenified plaques in a photo- distrubution Back:: diffuse erythematous patch in a shawl-like distribution Hands: erythematous extensor tendon plaques; Gottron's papules over MCP and PIP joints Fingernails: proximal nail folds with dilated and tortuous capillaries with dropout and ragged cuticles Legs: violaceous plaques on knees and extensor thighs


Case 5, (27th Annual Uniformed Services Dermatology Seminar, 2003) DERMATOMYOSITIS

Twede JVT - MedPix (2006)

Scalp: diffuse nonscarring alopecia, erythema and fine scales Face: heliotrope eruption on eyelids Arms: large violacious lichenified plaques in a photo- distrubution Back:: diffuse erythematous patch in a shawl-like distribution Hands: erythematous extensor tendon plaques; Gottron's papules over MCP and PIP joints Fingernails: proximal nail folds with dilated and tortuous capillaries with dropout and ragged cuticles Legs: violaceous plaques on knees and extensor thighs
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1798&req=5

MPX1798_synpic23382: Scalp: diffuse nonscarring alopecia, erythema and fine scales Face: heliotrope eruption on eyelids Arms: large violacious lichenified plaques in a photo- distrubution Back:: diffuse erythematous patch in a shawl-like distribution Hands: erythematous extensor tendon plaques; Gottron's papules over MCP and PIP joints Fingernails: proximal nail folds with dilated and tortuous capillaries with dropout and ragged cuticles Legs: violaceous plaques on knees and extensor thighs

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Case 5, (27th Annual Uniformed Services Dermatology Seminar, 2003) DERMATOMYOSITIS

History: History: A 55 year old Caucasian female with a nine year history of dermatomyositis.

Findings: Labs: ANA positive 1:320 speckled; Anti-RNP, Anti-Smith, Anti-Ro/La, Anti-Jo antibodies negative; MRI of lower extremities demonstrated extensive atrophy with minimal inflammation; EMG consistant with myopathic disease; history of slightly elevated CK and aldolase when symptomatic; hepatitis panel negative. Histopathology: The biopsy shows epidermal atrophy with compact orthokeratotic hyperkeratosis, focal vacuolar interface dermatitis, dilated vessels, and an increase in dermal interstitial mucin.

Ddx: • SLE •rosacea •drug eruption

Dxhow: clinicopathologic correlation

Exam: Examination: Scalp: diffuse nonscarring alopecia, erythema and fine scales Face: heliotrope eruption on eyelids Arms: large violacious lichenified plaques in a photo- distrubution Back: diffuse erythematous patch in a shawl-like distribution Hands: erythematous extensor tendon plaques; Gottron's papules over MCP and PIP joints Fingernails: proximal nail folds with dilated and tortuous capillaries with dropout and ragged cuticles Legs: violaceous plaques on knees and extensor thighs

No MeSH data available.