A physical examination showed that the patient was overweight BMI: 29, presented a pruritic hyperchromic maculopapular rash on her chest, back and limbs which was associated with moderate skin thickening, had symmetrical proximal muscular weakness in all four extremities, and had 3 cm hepatomegaly below the right costal margin.
Al examen físico la paciente presentaba sobrepeso IMC: 29, rash macular hipercrómico pruriginoso en tórax, dorso y extremidades asociados a engrosamiento moderado de la piel, debilidad muscular proximal simétrica en las cuatro extremidades y hepatomegalia de 3 cm por debajo del margen costal derecho.