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Atypical hydroa vacciniforme (HV) is a rare vesiculopapular eruption reported mainly in patients from Asia and Latin America1, 2, 3 and presents with similar but more severe cutaneous manifestations than classic HV. In addition, systemic findings may be present.1 Distinguishing between classic and atypical HV is essential, as the latter carries a worse prognosis and may progress to HV-like lymphoma.1, 2 Involvement of muscle resulting in a picture similar to dermatomyositis (DM) is a rarely reported presentation of atypical HV.4, 5 Herein, we present the first case, to our knowledge, of a 9-year-old Lebanese girl with atypical HV presenting with a picture of DM.

Atypical hydroa vacciniforme mimicking dermatomyositis: A case report in a Lebanese girl