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1. Amyopathic dermatomyositis
The patient’s skin rash might be several things but is most consistent with Gottron papules which are pathognomonic for dermatomyositis/polymyositis (DM/PM). A skin biopsy was performed which was nonspecific. However, given the clinical presentation the dermatology consultant was confident in a diagnosis of amyotrophic (without muscle involvement) dermatomyositis.
What should be done at this time? (Click on the correct answer to be directed to the fourth of seven pages)