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[A woman with muscle weakness and skin rash].

Authors
  • Gran, Jan Tore
Type
Published Article
Journal
Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
Publication Date
Aug 27, 2009
Volume
129
Issue
16
Pages
1648–1650
Identifiers
DOI: 10.4045/tidsskr.08.0423
PMID: 19721482
Source
Medline
License
Unknown

Abstract

A 44-year-old woman complained about weak proximal muscles in arms and legs. Levels of muscle enzymes in serum and findings in muscle biopsies were both normal. She then developed slight dyspnoea on exertion and high resolution CT showed ground glass opacities. Later on, dermatological manifestations such as V-sign and Shawl-sign were observed and the patient complained of Raynaud's phenomenon. Capillaroscopy revealed slight dearrangement of capillary architecture and reduced capillary density. The diagnosis was hypomyopathic dermatomyositis. Clinical aspects of amyopathic and hypomyopathic dermatomyositis are discussed.

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