26th August 2024

A 65-year-old retired legal secretary is referred to clinic with proximal muscle weakness. You note that she has a swollen looking purple rash

A 65-year-old retired legal secretary is referred to clinic with proximal muscle weakness. You note that she has a swollen looking purple rash around her eyes, erythema of the skin over her upper chest, and multiple changes in her hands including thickening and damage to the skin of her fingers and purplish scaly patches over her knuckles.

Given the likely diagnosis, what initial treatment may be recommended?

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