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Contributor

Eric Ehrsam, MD

Diagnosis

dermatomyositis telangiectasia, hereditary benign

Body Site

finger hand

Age

45 years

Pigmentation

light

Organization

periungual

Color

red

Morphology

macular / flat (macule / patch)

Pattern

symmetric

Comments

A 45 year old woman who complained of chronic fatigue developed a heliotrope rash with violaceous erythema of the eye lids associated with periorbital edema. She was also noted to have edema of her hands associated with periungual erythema and telangiectasias. Electromyography and a muscle biopsy showed no evidence of myositis, and she was diagnosed with amyopathic dermatomyositis without underlying malignancie. Oral prednisone (1 mg/kg/d) was given in a single daily dose, and her fatigue and skin findings improved.

Description

edema of the fingers associated with periungual erythema and telangiectasias

Categories

collagen vascular disease reactive erythema

Image Added

5/5/2002 13:05:06

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Other Resources

PubMed Medline Plus Medscape

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