The cutaneous manifestations of DM appear to bear no relationship to the presence or absence of myositis, and the severity of the cutaneous lesions does not appear to be related to the severity of the myositis. In general, the cutaneous manifestations of DM occur approximately 1–3 months or more before the onset of muscle weakness. Skin features may also occur simultaneously with the recognition of myositis. However, it is uncommon for the myositis to occur before the onset of the cutaneous manifestations.
The cutaneous lesions of DM have recently been reviewed [1–4]. The primary, classic skin lesion is a symmetrically distributed violaceous macular erythema [5]. Cutaneous manifestations of DM are generally grouped as pathognomonic, characteristic, compatible [6], less common, and rare [4, 7] (Tables 6.1 and 6.2).
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(2009). Cutaneous Manifestations of Dermatomayositis. In: Dermatomyositis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79313-7_6
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