9-year-old Girl in Pediatrics — 9yo Child | Pediatric Rheumatology | SMLE Q#16660
SMLE Question #16660
Pediatrics
Pediatric Rheumatology
Objective: OBJ-1767
Last updated: February 2026
A 9-year-old girl has 2 months of progressive fatigue and symmetric proximal muscle weakness. She can no longer climb stairs, rise from the floor, or lift her arms to comb her hair. She has a violaceous rash over the eyelids and erythematous violaceous papules over the metacarpophalangeal and interphalangeal joints. Distal strength is preserved. What is the most likely diagnosis?
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