PMC4531622_01
Skin lesions of the patient. (A) Gottron's papule on both knuckles. (B) Heliotrope rash on both upper eyelids.
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The typical Gottron's papules (Figure 1A), periungual telangiectasia, and periorbital heliotrope rash were also observed (Figure 1B).
Microscopic finding of skin biopsy (H&E, x200): An atrophic epidermis shows basement membrane degeneration, vacuolar alteration of basal keratinocytes with focal subepidermal fibrin deposition.
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Skin biopsy revealed an atrophic epidermis and hydropic degeneration of the basal keratinocyte associated with a few perivascular lymphocytic infiltrations (Figure 2).