Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease
Background. Heliotrope rash is one of the characteristic skin manifestations of juvenile dermatomyositis. It is a reddish-purple rash on the upper eyelids that is usually bilateral. Case Presentation. We report a boy who presented with unilateral heliotrope rash, Gottron’s papules, and muscle weakne...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2014/979856 |
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| author | Ghada Al-Janobi Hisham Alkhalidi Mohammed A. Omair |
| author_facet | Ghada Al-Janobi Hisham Alkhalidi Mohammed A. Omair |
| author_sort | Ghada Al-Janobi |
| collection | DOAJ |
| description | Background. Heliotrope rash is one of the characteristic skin manifestations of juvenile dermatomyositis. It is a reddish-purple rash on the upper eyelids that is usually bilateral. Case Presentation. We report a boy who presented with unilateral heliotrope rash, Gottron’s papules, and muscle weakness. Muscle biopsy was consistent with inflammatory myositis. Patient was started on prednisolone and methotrexate with an excellent response in both the skin and muscles. Conclusion. Unilateral heliotrope rash can occur in patients with juvenile dermatomyositis. Being a paraneoplastic condition caution should be taken not to miss any underlying malignancy. |
| format | Article |
| id | doaj-art-ca7387686a8c458e90c70191b76a95fe |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-ca7387686a8c458e90c70191b76a95fe2025-02-03T01:02:27ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/979856979856Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious DiseaseGhada Al-Janobi0Hisham Alkhalidi1Mohammed A. Omair2Division of Rheumatology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi ArabiaDepartment of Pathology, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDivision of Rheumatology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi ArabiaBackground. Heliotrope rash is one of the characteristic skin manifestations of juvenile dermatomyositis. It is a reddish-purple rash on the upper eyelids that is usually bilateral. Case Presentation. We report a boy who presented with unilateral heliotrope rash, Gottron’s papules, and muscle weakness. Muscle biopsy was consistent with inflammatory myositis. Patient was started on prednisolone and methotrexate with an excellent response in both the skin and muscles. Conclusion. Unilateral heliotrope rash can occur in patients with juvenile dermatomyositis. Being a paraneoplastic condition caution should be taken not to miss any underlying malignancy.http://dx.doi.org/10.1155/2014/979856 |
| spellingShingle | Ghada Al-Janobi Hisham Alkhalidi Mohammed A. Omair Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease Case Reports in Rheumatology |
| title | Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease |
| title_full | Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease |
| title_fullStr | Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease |
| title_full_unstemmed | Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease |
| title_short | Unilateral Heliotrope Rash in Juvenile Dermatomyositis: An Unusual Presentation of an Underlying Serious Disease |
| title_sort | unilateral heliotrope rash in juvenile dermatomyositis an unusual presentation of an underlying serious disease |
| url | http://dx.doi.org/10.1155/2014/979856 |
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