case_images: PMC10999960_01
case_images: Skin manifestation dermatomyositis in thyroid cancer patient at University of Gondar Hospital during admission. (A) skin manifestation on face (heliotrope rash), (B) Gutron's papule, (C) skin manifestation on hand, (D) V-sign, (E) shawl's sign, (F) holster sign.
case_images: IMCRJ-17-201-g0001.jpg
case_images: PMC10999960_01_IMCRJ-17-201-g0001.jpg
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case_images: As shown in Figure 1, on integumentary examination, there was an erythematous hyper-pigmented lesion on her face with periorbital edema (heliotrope rashes) (A); confluent violaceous and erythematous macular rashes on the knuckles of the hands (Gottron's sign) (B) and macular rashes on the forearms with a salt and pepper appearance (C); and violaceous macular rashes on the neck line (V-shaped rashes) (D), shoulder and back (shawl's sign) (E) and upper thighs, laterally (holster sign) (F).
case_images: Muscle biopsy of dermatomyositis in thyroid cancer patient at University of Gondar Hospital.
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case_images: Muscle biopsy showed increased nuclear internalization, scattered lymphocyte infiltration and atrophy, which was suggestive of inflammatory myopathy (see Figure 2). 
case_images: Skin manifestation of dermatomyositis in thyroid cancer patient at University of Gondar Hospital (ffter 2 months of treatment). (A) skin manifestation on face (heliotrope rash), (B) Gutron's papule, (C) V-sign, (D) holster sign.
case_images: IMCRJ-17-201-g0003.jpg
case_images: PMC10999960_01_IMCRJ-17-201-g0003.jpg
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case_images: After 2 months of treatment, she showed dermatological improvement and her physical exercise endurance was also significantly better, as shown in Figure 3.