Poikilodermatomyositis. Presented by Dr. Paul Gross.
Patient:
Complaint:
History:
Description:
Laboratory Examinations:
J. G., white woman, aged 58 years, born in Sicily.
Dermatitis involving face, neck, trunk, and extremities of three or four years' duration.
The eruption began four years ago on the back of the neck. This occurred in the summer time but the eruption disappeared in the autumn. About two years ago a pruritic eruption appeared in cubital fossae, and gradually this eruption involved the wrists, ankles, buttocks, thighs, and eyelids. There was also scaling of the scalp, loss of hair, loss of appetite, intermittent diarrhea, soreness of tongue, general weakness, and loss of weight (35 1bs.).
Eight months ago the patient was hospitalized because of a questionable cerebral vascular accident. During hospitalization the skin condition improved. A dietary history taken on admission to Presbyterian Hospital revealed that the patient had been living on an extremely poor diet