Dermatomyositis Hands

Ragged, red cuticles and red papules over the joints. Biopsy revealed interface dermatitis consistent with connective tissue disease.

Similar Cases

53M, carried a diagnosis of "polymyalgia rheumatica" (atypical age!), on low dose prednisone x years. ANA positive. On attempts to taper prednisone, he noted the spontaneous appearance of cuts and fissures on his hands with a dirty appearance (despite scrubbing). Rash on elbows. His CK is now, for the first time, mildly elevated. Classic example of a rare dermatologic finding called...

12 year old boy. Healthy, no medication. 3 days ago debut with these red skin rash, painful and swollen. No other symptoms. Fever in the beginning, now 37,5 degree Celsius. No blood samples yet. Painful when palpating. Feeling like small nodules in the skin. Any suggestions?

A 69-year-old male patient presented with painless swelling in both forearms, hands and legs, predominantly in the arms, lasting one month. The lesions are raised, with well-defined edges, with redness, without itching, with skin rigidity and marked peppered melanic lesions and pitting edema on palpation. Hot feeling on the area but not painful. He denies taking medications, allergies, blows or reaction to sun exposure. An infectious origin of the lesions is ruled out. A differential diagnosis with scleroderma/dermatomyositis/polymyositis is assessed, currently awaiting biopsy.

History. On /off #Seborrheic-dermatitis responds well to Dermovate scalp lotion. Recently in Spain. Scaling, redness especially around the eyes with orbital oedema bilaterally. Started on reducing steroids and Bethnovate cream. Appeared this morning looking like this tender red oedematous around the eyes and forehead red and sore. Duration one week post holiday in hot weather.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

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