Severe dermatomyositis presenting as quadriparesis: An unusual sequel in elderly

Dermatomyositis, an idiopathic inflammatory myopathy, is one of the rare causes of limbs paresis. The characteristic feature is skin involvement which differentiates this from other inflammatory myopathy. Here we report a case of severe dermatomyositis as his Creatine Phosphokinase (CPK) level was 32,000 who presented with weakness in all four limbs without any dermatological signs.