case_images: PMC7154252_01
case_images: a Heliotrope rash on the periorbital areas. b, c Painful, erythematous papules and ulcerations on the palmar surfaces of the distal interphalangeal joints of both hands and medial aspects of the index fingers. Livedo reticularis was also noticed on the index fingers of both hands (arrows). d Flagellate erythema on both inner thighs. e Gottron's sign on the left 3rd metacarpophalangeal joint. f Gottron's papules with central ulcerations and crusts on the right 3rd metacarpophalangeal joint and 4th proximal interphalangeal joint.
case_images: cde-0012-0057-g01.jpg
case_images: PMC7154252_01_cde-0012-0057-g01.jpg
case_images: F1
case_images: Livedo reticularis was also detected on the palmar surfaces of the index fingers of both hands, and erythematous linear plaques (flagellate erythema) were noticed on both inner thighs (Fig. 1).
case_images: a High-resolution CT of the chest showed multifocal areas of ground-glass attenuation. b A skin biopsy specimen from the right 3rd knuckle showed focal interface changes with sparse inflammatory cell infiltrate (hematoxylin and eosin staining, original magnification x100).
case_images: cde-0012-0057-g02.jpg
case_images: PMC7154252_01_cde-0012-0057-g02.jpg
case_images: F2
case_images: A high-resolution CT scan of the chest revealed multifocal areas of ground glass attenuation and alveolar opacity throughout the lung parenchyma and predominately at the peripheral and peribronchiolar regions (Fig. 2). Histopathological findings from the right 3rd knuckle revealed interface changes with sparse inflammatory cell infiltrate (Fig. 2).