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February 1981

Zebra-like Dermatomyositis

Author Affiliations

Toulouse, France

Arch Dermatol. 1981;117(2):63-64. doi:10.1001/archderm.1981.01650020003006

To the Editor.—  Dermatomyositis is characterized by a heliotrope eruption on the face and the upper part of the trunk, with or without edema. Therefore, in typical cases, the diagnosis is clear. However, other kinds of lesions have occasionally been reported in dermatomyositis.1 These include dermatographism, bullous lesions, urticarial lesions, photosensitivity, erythema nodosum, erythema multiforme, follicular keratosis, hypertrichosis, hyperhidrosis, psoriasiform eruptions, pitting of the fingernails, exfoliative dermatitis, hyperpigmentation, erythema of the scalp, livedo reticularis, ulcers, and panniculitis. We are reporting a case with an unusual feature, ie, a generalized erythematous rash that formed parallel zebra-like stripes, so that the patient had the appearance of being flogged. We have found no similar cases in the literature.Fig 1.—Zebra-like dermatomyositis.Fig 2.—Fir-like pattern on back.Fig 3.—Striped erythema in suborbital area.

Report of a Case.—  A 14-year-old girl was seen for nonpruritic skin lesions of dermatomyositis (Fig 1 through 3). On

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