Periorbital edema as the presenting sign of dermatomyositis.

BACKGROUND

Periorbital edema can occur in dermatomyositis, which is characterized by symmetric macular erythema, Gottron's papules, Gottron's sign, periungual telangiectasia, heliotrope rash, and poikilodermatous macules on the shoulders, arms, or upper back (shawl sign).

CASE REPORT

We report the case of an 81-year-old man with dramatic periorbital edema. It was not until he was hospitalized with dysphagia 6 months after developing the edema that the diagnosis of dermatomyositis was considered.

RESULTS

Laboratory tests, skin biopsy, and electromyography resulted in a diagnosis of dermatomyositis.

CONCLUSIONS

Periorbital edema may appear as the presenting cutaneous manifestation of dermatomyositis.