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Dermatomyositis. Presented by Dr. Walter F. Lever, Boston, and Dr. Merle Haanes, Beverly, Mass.
G. W., a 55-year-old, white, married woman, developed a diffuse erythema of the face and neck a little more than two years before presentation. A diagnosis of contact dermatitis was made, but the eruption persisted. Six months later, patchy erythema developed on the hands and forearms. A little over a year before presentation, a diagnosis of subacute disseminated lupus erythematosus was made. Biopsy of the skin revealed changes which were consistent with this diagnosis, but the lupus erythematosus cell was not found. One year before presentation, the patient developed marked muscular weakness, dysphagia, periorbital erythema and edema, and widespread erythema and scaling of the trunk and extremities. A second biopsy of skin and muscle revealed changes which were consistent with a diagnosis of dermatomyositis.
Oral cortisone was started nine months before presentation, with marked improvement. Weakness
Ryan M, Goodman J. NEW ENGLAND DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1954;69(1):123–124. doi:10.1001/archderm.1954.01540130125019