case_images: PMC11824495_01
case_images: (a) Poikilodermatous changes over the chest (V-sign). (b) Skin-colored papules over interphalangeal joints (Gottron's sign). (c) Significant swelling of the face and neck with crepitus. (d-e) Hyperkeratosis of margins of fingers and thumb (mechanic's hands).
case_images: CRIRH2025-2017703.001.jpg
case_images: PMC11824495_01_CRIRH2025-2017703.001.jpg
case_images: fig1
case_images: The mucocutaneous examination was remarkable for poikilodermatous changes over the chest (V-sign) (Figure 1(a)), atrophy, telangiectasia, and a heliotrope rash (Figure 1(b)), skin-colored papules over interphalangeal joints (Gottron's sign) (Figures 1(d) and 1(e)), and hyperkeratosis of margins of fingers and thumb (mechanic's hands) (Figures 1(d) and 1(e)). In addition, there was significant swelling of the face and neck with crepitus (Figure 1(c)).
case_images: (a) Diffuse subcutaneous emphysema with bilateral infiltrates on chest x-ray. (b) CT chest showing subcutaneous emphysema and pneumomediastinum with associated lung infiltrates and areas of scarring bilaterally. (c) CT neck showing subcutaneous emphysema involving the neck with extension into the head.
case_images: CRIRH2025-2017703.002.jpg
case_images: PMC11824495_01_CRIRH2025-2017703.002.jpg
case_images: fig2
case_images: Chest x-ray and CT chest/neck revealed ground glass opacities, interstitial infiltrates, moderate to severe pneumomediastinum, and extensive subcutaneous emphysema in the upper chest with extension into the neck and head (Figure 2).