1999 Volume 21 Issue 5 Pages 332-337
A 37-year-old woman had fever, heliotrope erythema, an erythematous and scaly rash with Gottron's papules over the knuckles, and proximal muscle weakness. Creatine kinase was elevated at 199 U/L. An electromyogram showed myogenic pattern and fibrillation. Chest roentgenogram showed diffuse bilateral patchy infiltrates in the periphery of the lungs. Videoendoscopy revealed diffuse multiple small nodular lesions in the tracheobronchial wall. Uveitis was also noted. Transbronchial biopsy specimens from the bronchial mucosa revealed noncaseating granulomas with occasional giant cells, while lung parenchyma specimens revealed interstitial pneumonia. These findings suggested the coexistence of sarcoidosis with dermatomyositis.
