title: [A woman with skin abnormalities and muscle weakness].
abstract: A 54-year-old woman presented to the emergency department with progressive proximal muscle weakness and a symmetric skin rash. Physical examination demonstrated a heliotrope rash, Gottron lesions, mechanic's hands and symmetrical erythema of the face, neck and upper legs. The diagnosis 'dermatomyositis' was established. Subsequently, the patient was successfully treated with prednisolone 1 mg/kg.
authors.affiliation: Medisch Spectrum Twente, Afd. Interne Geneeskunde, Enschede, the Netherlands. lcsteggink@gmail.com
authors.forename: Lars C
authors.initials: LC
authors.lastname: Steggink
authors.forename: Martha E
authors.initials: ME
authors.lastname: Hettema
authors.forename: Corine E
authors.initials: CE
authors.lastname: Delsing
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D003882:Dermatomyositis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D018908:Muscle Weakness / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D010291:Paresis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D011239:Prednisolone / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone