case_images: PMC3420678_01
case_images: Atrophic eruption affecting (a) flexures of arms, (b) upper chest, and (c) hands.
case_images: CRIM.RHEUMATOLOGY2011-134705.001.jpg
case_images: PMC3420678_01_CRIM.RHEUMATOLOGY2011-134705.001.jpg
case_images: fig1
case_images: A 33 year old previously fit and well Caucasian woman presented to the Dermatology clinic with a tender atrophic eruption involving the flexures of both arms, dorsum of hands, chest and back (see Figure 1) associated with nail changes.
case_images: Muscle biopsy demonstrating gross lymphocyte infiltration.
case_images: CRIM.RHEUMATOLOGY2011-134705.002.jpg
case_images: PMC3420678_01_CRIM.RHEUMATOLOGY2011-134705.002.jpg
case_images: fig2
case_images: MRI of the upper limbs demonstrated increased intensity in the trapezius muscle bilaterally (see Figure 2).
case_images: Bilateral increased intensity of the trapezius in the STIR sequence (MRI sagittal section in smaller box).
case_images: CRIM.RHEUMATOLOGY2011-134705.003.jpg
case_images: PMC3420678_01_CRIM.RHEUMATOLOGY2011-134705.003.jpg
case_images: fig3
case_images: However, generally, the features were thought to be consistent with an inflammatory myopathy (see Figure 3).