'Shawl Sign' as a Paraneoplastic Dermatosis

Dermatomyositis (DM) is an idiopathic condition characterized by inflammation of muscles and skin lesions. It is often a paraneoplastic manifestation of internal malignancy. Hence, early recognition of this disorder is important. Although not all dermatomyositis are associated with malignancies, the...

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Bibliographic Details
Published in:	Curēus (Palo Alto, CA) Vol. 12; no. 4; p. e7498
Main Authors:	Ranjit, Eukesh, Sapra, Amit, Etherton, Airn, Wasey, Waiz, Bhandari, Priyanka
Format:	Journal Article
Language:	English
Published:	United States Cureus Inc 01-04-2020 Cureus
Subjects:	Abdomen Antigens Autoimmune diseases Biomarkers Biopsy Cancer therapies Case reports Chemotherapy Dehydrogenases Dermatitis Enzymes Family/General Practice Hernias Liver Medical imaging Medicine Metastasis Patients Skin diseases Sunburn & sun tanning Tumors United States > US Illinois skin rash atypical presentation atypical rash malignancy metastatic disease dermatomyositis shawl sign sunburn skin biopsy paraneoplastic syndrome
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Summary:	Dermatomyositis (DM) is an idiopathic condition characterized by inflammation of muscles and skin lesions. It is often a paraneoplastic manifestation of internal malignancy. Hence, early recognition of this disorder is important. Although not all dermatomyositis are associated with malignancies, the ones with such association regress with the treatment of associated malignancy. In clinical practice, symptoms of muscle weakness can be vague, and skin lesions can be dismissed as sunburn. We present a case of an elder adult female who presented with dermatomyositis as a paraneoplastic syndrome secondary to an underlying Mullerian malignancy.
ISSN:	2168-8184 2168-8184
DOI:	10.7759/cureus.7498