title: Unilateral heliotrope rash in juvenile dermatomyositis: an unusual presentation of an underlying serious disease.
abstract: Background. Heliotrope rash is one of the characteristic skin manifestations of juvenile dermatomyositis. It is a reddish-purple rash on the upper eyelids that is usually bilateral. Case Presentation. We report a boy who presented with unilateral heliotrope rash, Gottron's papules, and muscle weakness. Muscle biopsy was consistent with inflammatory myositis. Patient was started on prednisolone and methotrexate with an excellent response in both the skin and muscles. Conclusion. Unilateral heliotrope rash can occur in patients with juvenile dermatomyositis. Being a paraneoplastic condition caution should be taken not to miss any underlying malignancy.
authors.affiliation: Division of Rheumatology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia ; Division of Rheumatology, Department of Medicine, Qatif Central Hospital, Qatif, Saudi Arabia.
authors.forename: Ghada
authors.initials: G
authors.lastname: Al-Janobi
authors.affiliation: Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Hisham
authors.initials: H
authors.lastname: Alkhalidi
authors.affiliation: Division of Rheumatology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia.
authors.forename: Mohammed A
authors.initials: MA
authors.lastname: Omair