case_images: PMC11193338_01
case_images: Ulceration noted on oral mucosa.
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case_images: PMC11193338_01_10.1177_23247096241263065-fig1.jpg
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case_images: Physical examination revealed periorbital edema, proximal muscle weakness in bilateral upper and lower extremities, heliotrope rash, erosions on oral mucosa (Figure 1), and rashes on bilateral lower extremities (Figure 2).
case_images: Reddish-purple rash on the lower extremity.
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case_images: PMC11193338_01_10.1177_23247096241263065-fig2.jpg
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case_images: Physical examination revealed periorbital edema, proximal muscle weakness in bilateral upper and lower extremities, heliotrope rash, erosions on oral mucosa (Figure 1), and rashes on bilateral lower extremities (Figure 2).
case_images: MRI of the femur with STIR sequence revealing diffuse myositis involving bilateral thighs.
case_images: 10.1177_23247096241263065-fig3.jpg
case_images: PMC11193338_01_10.1177_23247096241263065-fig3.jpg
case_images: fig3-23247096241263065
case_images: An magnetic resonance imaging (MRI) of the femur with Short Tau Inversion Recovery (STIR) sequence revealed diffuse myositis involving the bilateral thighs (Figure 3), prompting a muscle biopsy from the vastus lateralis, which confirmed findings consistent with inflammatory myopathy.