Rash, Weakness & a Hidden Clue

A 66-year-old woman presents with a pruritic rash and proximal muscle weakness. Discover the classic signs that point to a systemic Autoimmune diagnosis.

Dermatomyositis


A 66-year-old woman presented with a pruritic rash. Physical examination showed dyschromic patches, plaques, and poikiloderma on her upper back. Strength testing noted weakness in proximal arms and legs. What is the diagnosis?

What is the most likely diagnosis?

Polymyositis
Dermatomyositis
Subacute cutaneous lupus erythematosus
Discoid lupus
Psoriasis

Autoimmune, Dermatomyositis, Proximal Myopathy, Rheumatology, Shawl Sign

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