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Can Fam Physician. 2010 April; 56(4): 353.
PMCID: PMC2860829

Question: Can you identify this condition?

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Object name is 353-afig1.jpg

A 58-year-old man presents with a 4-month history of facial erythema. He complains of progressive pain and weakness in his shoulder and lumbar girdle, and he has difficulty swallowing food. His medical history is remarkable for diabetes mellitus and hypertension over the past 20 years. When explored, his symptoms reveal malar erythema and telangiectasia with infraorbital edema. Both hands show red papules, mostly over the bony prominences.

The most likely diagnosis is

  1. Dermatomyositis
  2. Systemic lupus erythematosus
  3. Polymorphous light eruption
  4. Seborrheic dermatitis
  5. Contact dermatitis

Answer on page 354

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada