PMC4594990_01
Gottron papules
PAMJ-21-89-g001.jpg
PMC4594990_01_PAMJ-21-89-g001.jpg
F0001
38 year old woman with no significant medical history admitted to the dermatology department for management of dermatomyositis which restraint on clinical (Figure 1), biological, electromyographic and pathological criteria.
ACR5 lesion
PAMJ-21-89-g002.jpg
PMC4594990_01_PAMJ-21-89-g002.jpg
F0002
The patient was put under high dose of steroids without a clear clinical improvement, mammography ultrasound control of six months revealed a ACR5 lesion in the same quadrant (Figure 2).