Amyopathic dermatomyositis presenting as severe alopecia and prominent eyelid edema: a case report and literature review

Case reportA 62-year-old female patient, a former smoker with a known history of arterial hypertension and chronic gastritis, had previously been evaluated by a regional dermatologist, resulting in a suspected clinical and histopathological diagnosis of discoid lupus erythematosus.She was treated with topical corticosteroids, topical immunomodulatory therapy, and systemic hydroxychloroquine for 5 months.Despite this therapy, her condition gradually progressed.She reported that symptoms first appeared 3 years prior to presentation, beginning with a scaly rash of the scalp and progressive hair loss.Within 1 year, the disease worsened, leading to erythema of the face and scalp, diffuse frontal alopecia, and mild eyelid swelling.Due to the deterioration of her cutaneous manifestations, she was referred to the tertiary dermatology center.