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.
A 45 year-old woman presented an heliotrope rash with a violaceous erythema overlying upper and lower eyelids associated with a periorbital edema. She presented edema of her hands, periungueal erythema and periungual telangiectases. She presented no other symptoms except asthenia. Electromyography and muscular biopsy did not find signs of myositis. At the present time, this woman is considered to have an amyopathic dermatomyositis without underlying malignancie. Oral prednisone (1 mg/kg) is given in a single daily dose. Asthenia and cutaneous signs are less important.