PMC10220425_01
A. Gottron's papules involving the dorsal aspect of proximal interphalangeal (PIP) joints
B. 'V' sign: Erythematous patch involving the 'V' of neck
C. Palmar papules: Erythematous macules involving bases of thumb of right-hand
D. Calcinosis involving right elbow.
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f1
Hand examination showed multiple erythematous macules on the palmar aspect and multiple hypo-pigmented macules on the dorsal aspect of proximal-inter-phalangeal (PIP) joints ( Figure 1). Examination of the elbows showed denuded epithelium with scab formation on one side and chalky white deposits on the other ( Figure 1). There was an erythematous rash involving the anterior aspect of neck and upper chest ( Figure 1).
HRCT lungs- Bilateral peripheral lower lobe predominant reticulation with patchy consolidation and ground glass changes.
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f2
High resolution computer tomography (HRCT) of the chest showed features of non-specific interstitial pneumonia (NSIP) pattern of interstitial lung disease (ILD) [ Figure 2].