Unusual sequelae of adult-onset dermatomyositis

Mohammad Ebrahim Naffaa, Rema Bishara, Yolanda Braun-Moscovici, Alexandra Balbir-Gurman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


A 44-year-old woman diagnosed with dermatomyositis 5 years ago based on progressive proximal muscle weakness, elevated creatine kinase, typical findings on electromyography and muscle biopsy. Despite the treatment, in contrast to improvement in her muscle symptoms, the heliotrope rash of her eyelids persisted. After several years, the patient developed multiple limited skin retraction lesions with hyperpigmentation on both lower limbs. Palpation of these lesions revealed dry, cold and very firm skin on both thighs and calves, particularly in the distal areas. X-ray and ultrasound imaging of the calves showed multiple subcutaneous calcifications in the distal muscles.

Original languageEnglish
Article number1593
JournalBMJ Case Reports
StatePublished - 1 Aug 2014
Externally publishedYes


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