A 64-year-old man was referred for assessment of a symmetric violaceous rash of the dorsal aspect of the fingers (Figure, A), trunk, olecranon processes and malleoli. An oedematous, blue-purple discolouration of the eyelids was also apparent. The patient complained of severe weakness of the proximal muscles and dysphagia. T2-weighted magnetic resonance imaging showed muscular inflammation and a pulmonary mass (Figure, B) that was histologically identified as squamous cell carcinoma and staged as T3 N0 M0.
- Daniele Torchia1
- Emiliano Antiga1
- Letizia Ricupero2
- Marzia Caproni1
- Paolo Fabbri1
- 1 University of Florence, Florence, Italy.
- 2 Santa Maria Nuova Hospital, Florence, Italy.
Correspondence: daniele.torchia@unifi.it
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