This condition is associated in adults with underlying carcinoma—commonly of the breasts, lung, ovary, or gastrointestinal tract. It is characterised by localised erythema with a purple hue (heliotrope), predominantly on the eyelids, cheeks, and forehead. There may be similar changes on the dorsal surface of the fingers, often with dilated nail fold capillaries. These changes may precede the discovery of an underlying tumour and may also fade away once it is removed. There is a variable association with muscle discomfort and weakness, mainly in the upper limb girdle. The finding of muscle weakness together with specific electromyographic changes and an inflammatory infiltrate in the muscle means there is almost certainly an underlying malignancy, so suitable investigation is indicated.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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