PMC9494788_01
PMC9494788_02
Case 2. Appearance of the patient at presentation. Images showing heliotrope rash and periorbital edema (A), Gottron's papules and sign over the knees, elbow and hands (B-D), Raynaud's phenomenon (D), erythematous lesion on the shoulder (E). Images are used with mother's and child's consent.
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Periorbital edema, heliotrope rash (Fig. 1 A), Gottron's papules and sign, Raynaud's phenomenon (Fig. 1 B-D), and erythematous rash on the shoulder (Fig. 1
PMC9494788_03
Case 3. Appearance of the patient at presentation. Images showing heliotrope rash and periorbital edema. Image is used with mother's and child's consent.
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Examination revealed pale skin, periorbital heliotrope rash and edema (Fig. 2), mild Gottron's sign over the elbows, erythematous rash on the face, torso, and palms, which intensified at the height of fever; decreased muscle strength in the proximal muscles of the lower and upper extremities.
PMC9494788_04
Case 4. Appearance of the patient at presentation. Images showing heliotrope rash and periorbital edema (A); Gottron's papules and sign over the knees (B); erythematous patches over the shoulder (C). Images are used with mother's and child's consent.
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On examination, periorbital edema, the heliotrope rash on eyelids, purple erythema on the cheeks, forehead (Fig. 3 A), Raynaud's phenomenon, Gottron's papule and sign over the elbows, knees, and finger joints (Fig. 3 B), and erythematous patches over the shoulder (Fig. 3 C) were observed.