PMC3420678_01
Atrophic eruption affecting (a) flexures of arms, (b) upper chest, and (c) hands.
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fig1
A 33 year old previously fit and well Caucasian woman presented to the Dermatology clinic with a tender atrophic eruption involving the flexures of both arms, dorsum of hands, chest and back (see Figure 1) associated with nail changes.
Muscle biopsy demonstrating gross lymphocyte infiltration.
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fig2
MRI of the upper limbs demonstrated increased intensity in the trapezius muscle bilaterally (see Figure 2).
Bilateral increased intensity of the trapezius in the STIR sequence (MRI sagittal section in smaller box).
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fig3
However, generally, the features were thought to be consistent with an inflammatory myopathy (see Figure 3).