-Palpebral exanthema in heliotrope

-Palpebral exanthema in heliotrope

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Juvenile dermatomyositis is an autoimmune systemic vasculopathy, mainly characterized by chronic inflammation of the striated muscle and skin. The authors report the case of a 15-year-old boy presenting with a four-month history of myalgia and proximal muscle weakness on the upper and lower limbs. These symptoms were associated with heliotrope palp...

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... physical examination, the boy had good general condition, with stable vital signs. He presented palpebral exanthema in heliotrope associated with periorbital edema (Figure 1) and purpuric erythema in the dorsum of the hands, periungual telangiectasias and Gottron's papules on metacarpophalangeal and interphalangeal joints (Figure 2), and erythematous and petechial rash on the extensor face of the thighs. Additionally, he presented symmetrical reduction of proximal muscle strength in upper and lower limbs and positive Gower's signal, with Childhood Myositis Assessment Scale (CMAS) score of 28. ...

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