case_images: PMC7350393_01
case_images: Gottron's papules on hand at the time of presentation.
case_images: 10.1177_2324709620940496-fig1.jpg
case_images: PMC7350393_01_10.1177_2324709620940496-fig1.jpg
case_images: fig1-2324709620940496
case_images: On examination, he had small papules on the metacarpophalangeal and proximal interphalangeal joints of the fingers, consistent with Gottron's papules (Figure 1).
case_images: Scattered circular skin lesions on back and an area of full-thickness skin separation on the right shoulder.
case_images: 10.1177_2324709620940496-fig2.jpg
case_images: PMC7350393_01_10.1177_2324709620940496-fig2.jpg
case_images: fig2-2324709620940496
case_images: Over the following 3 days, the skin lesions evolved to separation, suggestive of epidermal necrosis (Figure 2).