RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57682509
T1 Chapter 181. Dermatomyositis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57682509
RD 2024/04/24
AB A  55-year-old  Hispanic  woman  presents  to  her  family  physician  with  a  diffuse  rash  and  increasing  muscle  weakness.  The  initial  rash  (without  weakness)  2  months  prior  was  thought  to  be  a  photosensitivity  reaction  to  her  new  hydrochlorothiazide  (HCTZ)  prescription.  She  stopped  the  HCTZ  and  the  rash  initially  improved  with  some  topical  corticosteroids.  At  the  time  of  her  current  presentation,  she  had  trouble  getting  up  from  a  chair,  walking,  and  lifting  her  arms  over  her  head.  The  rash  was  prominent  in  sun-exposed  areas,  but  was  also  seen  in  a  shawl-like  distribution  in  non-sun-exposed  areas  (Figure  181-1).  Aside  from  her  hypertension  and  obesity,  the  patient  did  not  have  any  previous  chronic  medical  conditions.  She  was  afebrile  with  no  other  pertinent  findings  on  physical  exam.