PMC5871377_01
Heliotrope rash
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We attended a 49-year-old female patient with erythematous papules on metacarpophalangeal joints and violaceous erythema on the face, cervical region, upper back and upper limbs (Figures 1-3).
Shawl sign
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We attended a 49-year-old female patient with erythematous papules on metacarpophalangeal joints and violaceous erythema on the face, cervical region, upper back and upper limbs (Figures 1-3).
Painful and indurated, erythematoviolaceous subcutaneous nodules on the
abdomen
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We attended a 49-year-old female patient with erythematous papules on metacarpophalangeal joints and violaceous erythema on the face, cervical region, upper back and upper limbs (Figures 1-3).
Inflammatory lymphocytic infiltrate in the hypodermis, permeating adipose
cells without septal thickening (Hematoxylin & eosin, X400)
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One year after the patient's first symptoms, indurated, painful, violaceous, erythematous, subcutaneous nodules appeared on the upper limbs, thighs, back, breasts, gluteal region and abdomen (Figure 4).
Gottron's papules observed on the hands
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Skin biopsy of the left inner thigh revealed lymphocytic panniculitis with plasma cells of a lobular pattern and vasculopathy (vascular endothelial hyperplasia and edema) (Figure 5).