Edema purpura spots on both upper eyelids

The typical skin lesions of dermatomyositis, edematous purplish red spots on both upper eyelids, spread to the periphery of the orbit, and gradually expand to the V-shaped area of ​​the face, neck and upper chest. Limbs, elbows and knees, especially the metacarpophalangeal and phalangeal (toe) joints, have purple-red papules, with dilated capillaries, hypopigmentation, and overlying small scales, called Gottron (Gordon) sign or Grottron papules.