History:

Patient of Dr J Lim

58 years old lady with recurrence of ovarian carcinoma has itchy red patches over hands (knuckles, hand dorsum & palms) and other sun exposed areas appears erythematous & scaly. She also experience difficulty in standing from a squatting position.

skin biopsy came back as dermatomyositis- which likely to be a paraneoplastic dermatomyosistis.

This was an interesting case of dermatomyositis. The presence of the redness over the knuckles and over the posterior nail folds is quite characteristic of this condition.