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Previous Volume 333:369-377 August 10, 1995 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 46-year-old woman was admitted to the hospital for consideration of lung transplantation because of severe pulmonary hypertension.

The patient had been well and working as a secretary until 16 months earlier, when proximal-muscle weakness developed, accompanied by myalgia, Raynaud's phenomenon, scaling plaques over the distal interphalangeal joints, and a maculopapular rash over the face, neck, and anterior chest that spared the eyelids and nasolabial folds; she began to have dyspnea. Evaluation elsewhere showed that the creatine kinase level was approximately 3000 U per liter. Electromyographic studies revealed evidence of muscle disease. Microscopical examination of a quadriceps muscle–biopsy specimen disclosed . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David S. Lazarus's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Metry, D. W., Hebert, A. A. (2000). Benign Cutaneous Vascular Tumors of Infancy: When to Worry, What to Do. Arch Dermatol 136: 905-914 [Abstract] [Full Text]