A Bad Sign: Dermatomyositis with Interstitial Lung Disease

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Presentation transcript:

A Bad Sign: Dermatomyositis with Interstitial Lung Disease Siriwan Palawisuth, MD, Kornphaka Kantikosum, MD, Mattana Patiyasikunt, MD, Thitiwat Sriprasart, MD, Pravit Asawanonda, MD, DSc, Pawinee Rerknimitr, MD, MSc The American Journal of Medicine Volume 132, Issue 2, Pages 182-186 (February 2019) DOI: 10.1016/j.amjmed.2018.09.013 Copyright © 2018 Terms and Conditions

Figure 1 (A) A clinical examination revealed confluent symmetric violaceous patches on the malar eminences. (B) Additional violaceous patches were evident on the metacarpophalangeal joints. (C) Tender, erythematous papules marked the patient's palms. (D) An ulcer (arrow) was noted on the antihelix. (E) A papule with a central ulcer was seen on the elbows. The American Journal of Medicine 2019 132, 182-186DOI: (10.1016/j.amjmed.2018.09.013) Copyright © 2018 Terms and Conditions

Figure 2 Noncontrast computed tomography of the chest showed predominant ground-glass opacity with traction bronchiectasis in the lower lobes. The American Journal of Medicine 2019 132, 182-186DOI: (10.1016/j.amjmed.2018.09.013) Copyright © 2018 Terms and Conditions

Figure 3 A skin biopsy specimen from the right middle finger showed focal lichenoid interface changes with some necrotic keratinocytes, indicated with an arrow (hematoxylin and eosin, 100x). The American Journal of Medicine 2019 132, 182-186DOI: (10.1016/j.amjmed.2018.09.013) Copyright © 2018 Terms and Conditions

Figure 4 A skin biopsy specimen from the right middle finger showed focal lichenoid interface changes with some necrotic keratinocytes, indicated by the arrow (hematoxylin and eosin, 200x). The American Journal of Medicine 2019 132, 182-186DOI: (10.1016/j.amjmed.2018.09.013) Copyright © 2018 Terms and Conditions