Flagellate erythema, described by Moulin in 1970 as reminiscent of the
lesions produced by flogging and by other authors as zebra-like lesio
ns, was noted first in association with bleomycin treatment, but later
occasionally reported in relationship with dermatomyositis, mostly fr
om Japan. It is characterized by linear, erythematous, cutaneous strea
ks, pruriginous or painful, arising on an oedematous background and di
sappearing spontaneously over several weeks. So far, fewer than five c
ases have been reported in association with dermatomyositis, but we no
w present a further one.