<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old woman presents for evaluation of symmetric proximal muscle weakness. The patient also presents with a blue-purple discoloration of the upper eyelids accompanied by rashes on the knuckles, as shown in the picture below. What is the most likely cause?? A: Polymyositis, B: Duchenne muscular dystrophy, C: Hypothyroidism, D: Inclusion body myositis, E: Dermatomyositis,  <response>: Based on the information provided in the question stem, the key findings are:- 35-year-old woman with symmetric proximal muscle weakness - Blue-purple discoloration of the upper eyelids heliotrope rash- Rashes on the knuckles Gottrons papulesThe symmetric proximal muscle weakness along with the characteristic rashes are highly suggestive of an inflammatory myopathy. The two main possibilities are polymyositis and dermatomyositis. However, the presence of the heliotrope rash and Gottrons papules makes dermatomyositis the most likely diagnosis. Polymyositis would not present with the skin findings. The other options of Duchenne muscular dystrophy, hypothyroidism, and inclusion body myositis do not fit with the clinical presentation described.E: Dermatomyositis 