Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone

A 56-year-old man presented to the emergency department with unilateral eyelid swelling, a hyperpigmented rash, and no myositis. His physical examination showcases the variable presentation of classic dermatomyositis skin manifestations in darker skin. Dermatomyositis is an uncommon disease characte...

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Main Authors: Julia Goupil, Appledene Osbourne, Lucy Shi
Format: Article
Language:English
Published: American College of Physicians 2023-03-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0990
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author Julia Goupil
Appledene Osbourne
Lucy Shi
author_facet Julia Goupil
Appledene Osbourne
Lucy Shi
author_sort Julia Goupil
collection DOAJ
description A 56-year-old man presented to the emergency department with unilateral eyelid swelling, a hyperpigmented rash, and no myositis. His physical examination showcases the variable presentation of classic dermatomyositis skin manifestations in darker skin. Dermatomyositis is an uncommon disease characterized by proximal muscle weakness and classic dermatologic manifestations. In amyopathic disease, the diagnosis relies on the identification of dermatologic findings, in which variation in manifestations can lead to delays in diagnosis and increased health disparities.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-a5460098dd4148ca902cd58ebc8ca7c62025-08-20T02:11:46ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-03-012310.7326/aimcc.2022.0990Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin ToneJulia Goupil0Appledene Osbourne1Lucy Shi21University of California Davis School of Medicine, Sacramento, California2University of California Davis Medical Center, Sacramento, California3Department of Internal Medicine, Division of Hospital Medicine, University of California Davis Medical Center, Sacramento, CaliforniaA 56-year-old man presented to the emergency department with unilateral eyelid swelling, a hyperpigmented rash, and no myositis. His physical examination showcases the variable presentation of classic dermatomyositis skin manifestations in darker skin. Dermatomyositis is an uncommon disease characterized by proximal muscle weakness and classic dermatologic manifestations. In amyopathic disease, the diagnosis relies on the identification of dermatologic findings, in which variation in manifestations can lead to delays in diagnosis and increased health disparities.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0990
spellingShingle Julia Goupil
Appledene Osbourne
Lucy Shi
Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone
Annals of Internal Medicine: Clinical Cases
title Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone
title_full Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone
title_fullStr Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone
title_full_unstemmed Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone
title_short Amyopathic Dermatomyositis Manifesting With Marked Unilateral Eyelid Swelling and Hyperpigmentation in a Darker Skin Tone
title_sort amyopathic dermatomyositis manifesting with marked unilateral eyelid swelling and hyperpigmentation in a darker skin tone
url https://www.acpjournals.org/doi/10.7326/aimcc.2022.0990
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AT lucyshi amyopathicdermatomyositismanifestingwithmarkedunilateraleyelidswellingandhyperpigmentationinadarkerskintone