Back issues No.3 - 2004 / Case Report  

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Bullous Dermatomyositis Associated with Gastric Carcinoma-A Case Report
Tsung-Hua Tasi , Pa-Fan Hsiao , Hsin-Yi Su , Yang-Chih Lin
Dermatol Sinica 22 : 243-247, 2004

Cutaneous manifestations of dermatomyositis commonly include Gottron’s papules, periorbital heliotrope rash, periungual erythema or telangiectasia, and poikiloderma. Vesicles or bullae have rarely been reported. We describe a patient with dermatomyositis who presented with vesicles and was subsequently diagnosed as having gastric carcinoma. It is important to recognize this vesiculo-bullous variant in order to avoid a delay in diagnosis. Vesiculo-bullous dermatomyositis may be associated with a higher incidence of internal malignancy than typical dermatomyositis and portend a poorer prognosis.

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