PMC9735185_01
a Violaceous papules around eyes and on chest wall with mild facial swelling and small ulceration on the lower lip. b Erythematous papules on hands (Gottron's papules) with associated MCP and PIP synovitis. c Erythematous papules on palmar surface of hands
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Fig1
Shawl sign on her chest wall and neck, and heliotrope rash with associated eyelid and facial swelling. She also had small ulcers on her lower lip and erythematous papules on the palmar surface of her hands (Fig. 1a-c).
CT of the chest without contrast on a initial visit showing multifocal scattered GGOs and sub-solid opacities in peripheral, b 3 months visit showing less GGOs and denser fibrotic changes, c 6 months visit with significant improvement in GGOs
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Fig2
Approximately 6 months after diagnosis, she had normalization of PFTs and significant improvement of pulmonary infiltrates on CT of the chest (Fig. 2b, c).
PMC9735185_02
PMC9735185_03
PMC9735185_04
PMC9735185_05
PMC9735185_06
CT of the chest without contrast on a initial visit showing multifocal scattered GGOs and sub-solid opacities in peripheral, b 3 months visit showing less GGOs and denser fibrotic changes, c 6 months visit with significant improvement in GGOs
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PMC9735185_06_42399_2022_1357_Fig2_HTML.jpg
Fig2
Approximately 6 months after diagnosis, she had normalization of PFTs and significant improvement of pulmonary infiltrates on CT of the chest (Fig. 2b, c).