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Whole body dermatomyositis

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Generalized aches and pains with weakness.

Patient Data

Age: 9 years
Gender: Male
mri

Widespread inflammatory change throughout all visualized muscle groups with features of dermatomyositis.

Case Discussion

There is extensive T2 hyperintensity throughout all visualized muscles. This affects the connective tissue that surrounds the muscle bundles and results in the feathery appearance.

The rheumatologist described the best heliotrope rash he had ever seen.

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