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Contributor

Katherine Puttgen, MD

Diagnosis

dermatomyositis dermatomyositis sine myositis Gottron papule

Body Site

hand finger

Age

6 years

Pigmentation

light

Organization

extensor surfaces

Color

pink

Morphology

papule

Pattern

acral (centripetal - extremity predominant) symmetric extensor surfaces

Comments

This otherwise healthy 6-year-old girl had a several month history of progressive skin changes on the dorsal fingers, a new calcified nodule on the right volar wrist, and intermittent heliotrope rash. There was no clinical or serologic evidence of muscle involvement on two separate screenings 4 months apart. Magnetic resonance imaging of the upper legsI was ordered to rule out subtle myositis and is currently pending.

Description

symmetric acrally distributed well demarcated pink papules with central atrophy

Categories

collagen vascular disease

Image Added

4/21/2008 22:04:35

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Other Resources

PubMed Medline Plus Medscape

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