Unilateral Gottron Papules in a Hemiparetic Patient with Dermatomyositis

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ID: 328823
2026
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Ranked #395 of 412 articles by views in the british journal of dermatology

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Abstract
We report a case of dermatomyositis in a 35-year-old woman with chronic right-sided hemiparesis, in whom cutaneous manifestations including Gottron papules were confined to the more functionally active left side, while the paretic right extremities were spared. PET-CT demonstrated asymmetric skeletal muscle FDG uptake and muscle bulk, compatible with long-standing functional asymmetry. This intraindividual comparison supports the hypothesis that movement and mechanical stress may contribute to the localization of cutaneous lesions in dermatomyositis, while neuroimmune and vascular factors may also play a role.
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Authors
Journal the british journal of dermatology
Year 2026
DOI
10.1093/bjd/ljag404
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