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Contributor

Katherine Puttgen, MD

Diagnosis

dermatomyositis dermatomyositis sine myositis calcinosis cutis

Body Site

wrist

Age

6 years

Pigmentation

light

Organization

discrete

Color

pink

Morphology

papule

Pattern

acral (centripetal - extremity predominant)

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

firm yellow-white 4 mm smooth topped papule with surrounding erythema

Categories

collagen vascular disease

Image Added

4/21/2008 22:04:31

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Other Resources

PubMed Medline Plus Medscape

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