title: Dermatomyositis presenting with symptomatic dermographism and raised troponin T: a case report.
abstract: BACKGROUND
  Dermatomyositis is an important inflammation of skin and muscles. Generalised itch is frequent in the condition; however, symptomatic dermographism has not previously been reported as a presenting feature.
  
  
  METHODS
  A 32-year-old Caucasian Scottish woman was diagnosed with dermatomyositis after initial presentation with symptomatic dermographism. No underlying neoplasm was found and her condition was successfully treated with systemic corticosteroids and high-dose human immunoglobulin infusions. At presentation, her troponin T and creatine phosphokinase enzymes were highly raised.
  
  
  CONCLUSIONS
  Symptomatic dermographism may be a presenting feature of dermatomyositis. Dermatomyositis is one of many conditions that can result in a raised troponin T.
authors.affiliation: Department of Dermatology, Level 8, Ninewells Hospital Dundee DD1 9SY UK.
authors.forename: Kartini F
authors.initials: KF
authors.lastname: Rahim
authors.forename: Robert S
authors.initials: RS
authors.lastname: Dawe