• Vol. 28 No. 6, 855–857
  • 15 November 1999

Bullous Dermatomyositis Associated with Nasopharyngeal Carcinoma —A Case Report



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Cutaneous manifestations of dermatomyositis commonly include Gottron’s papules, heliotrope rash, photosensitivity, poikiloderma and nailfold telangiectasia. Vesicles and bulla are rare. We report a patient with dermatomyositis who presented with blisters and oral ulcers. It is important to recognise this bullous variant in order to avoid a delay in diagnosis. Bullous dermatomyositis may also portend a poorer prognosis. Our patient was subsequently diagnosed to have undifferentiated nasopharyngeal carcinoma.

Bullous dermatomyositis is a rare variant of dermatomyositis and has been reported in the literature. It is believed to be strongly associated with the presence of a malignancy.

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