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December 1966

Heliotropic Discoloration of the Eyelids: Occurrence in a Probable Case of Disseminated Lupus Erythematosus

Author Affiliations

From the Division of Renology and Metabolism and the Division of Immunology, Department of Pediatrics, University of Texas Medical Branch, Galveston. Dr. Carr is now in Ocala, Fla.

Am J Dis Child. 1966;112(6):585-586. doi:10.1001/archpedi.1966.02090150129017

THE CLINICAL features which distinguish disseminated lupus erythematosus include arthritis, polyserositis, dermatitis, nephritis, hepatosplenomegaly, and hematologic abnormalities. Heliotropic discoloration of the eyelids is said to be pathognomic of dermatomyositis.1 The purpose of this report is to call attention to its occurrence in a probable case of disseminated lupus erythematosus.

Report of a Case  An 11-year-old white girl was admitted to a hospital because of anorexia, fever, weakness, bleeding gums, and palatal ulcerations. The hemoglobin was 12 gm/100 cc; total leukocytes, 2,900/cu mm, with a normal differential count; and platelets, 76,000/cu mm. Urinalysis and serum protein electrophoresis were normal.She was admitted here one month later. Physical examination revealed a cachetic, depressed girl with temperature, 102 F (38.9 C); pulse rate, 104/min; respiratory rate, 20/min; and blood pressure, 98/45 mm Hg. Her weight was 24.5 kg (54 lb); height, 127 cm (4 ft 2 inches). The eyelids were edematous. The

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