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 2024/10/15 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.