11th July 2023

A 30-year-old woman presents to clinic with a bothersome rash around her eyes

A 30-year-old woman presents to clinic with a bothersome rash around her eyes. It appears to have a purplish hue and has been present for more than 2 weeks. She is otherwise fit and well. Her mood has been low recently, but she attributes this to her mother recently being diagnosed with ovarian cancer. On further clinical examination, you note some skin changes on her hands (see image below).

Skin changes to the hand

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.