VESICULOBULLOUS DERMATOMYOSITIS

Cutaneous manifestations of dermatomyositis (DM) commonly include Gott ron's papules, cuticular erythema and telangiectasia, periorbital edem a with a ''heliotrope'' rash, a papulosquamous eruption of the hairlin e, face, and trunk, as well as poikiloderma. Very few references can b e found concerning vesicular and bullous lesions, however. We present two patients with dermatomyositis who manifested vesicular and bullous lesions who were initially misdiagnosed. Although rare, it is importa nt to recognize this form of DM to avoid misdiagnosis. Furthermore, in some cases, vesiculo-bullous DM may portend a poor prognosis.