These images, submitted by Santhanam Lakshminarayanan, MD, associate professor of medicine in the Division of Rheumatology the University of Connecticut School of Medicine, Farmington, show a 32-year-old Black woman with classic cutaneous manifestations of dermatomyositis: heliotrope rash; periorbital edema with complete closure of the eyes; erythema nodosum on the lower extremity overlying the tibia; hyperkeratosis of hands (i.e., mechanic’s hands); post-inflammatory hypopigmentation on the metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints and distal interphalangeal (DIP) joints; Gottron’s sign over the PIP joints and elbow; periungal infarcts; and hyperkeratosis of feet (i.e., hiker’s feet).
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Explore This IssueMarch 2022
About the Contest
The Rheumatology Image Library is a highly accessed teaching resource. However, images showing manifestations of rheumatic disease on skin of color are under-represented, creating a significant educational gap. The 2021 Image Competition, held in conjunction with ACR Convergence 2021, encouraged the global rheumatology community to submit images that will help healthcare providers identify rheumatic disease manifestations in skin of color. Here, we depict the image selected as the Best Overall. In coming issues, we’ll publish the People’s Choice and winning images from six regions across the world.