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Eyelid edema as first manifestation of anti‐MDA5 positive dermatomyositis with rapidly progressive interstitial lung disease: A case report

A 46-year-old Caucasian male was referred for evaluation of bilateral palpebral and periorbital edema without pruritus. His symptoms started suddenly, with progressive swelling of the left eyelid three months earlier. Previously considered diagnoses included angioedema, contact dermatitis, cellulitis and Morbihan disease. However, neither treatment with topical corticosteroids and calcineurin inhibitors, nor therapy with low-dose systemic corticosteroids, penicillin, doxycyClinical Letter