It is apparent that recognizing and making a diagnosis of
JDM can be quite challenging.
Single keratotic lesions overlying the palmar aspect of inter-
phalangeal and metacarpophalangeal joints may be the ﬁrst sign
of JDM. Knowledge about this atypical presentation can lead the
practitioner to an accurate diagnosis and management plan.
A. Le Duc Pennec,
* L. Misery
Department of Dermatology, University Hospital, Brest, France,
Department of Rheumatology, University Hospital, Brest, France,
Department of Pathology, Necker Enfant Malades Hospital, APHP, Paris,
Pediatric Department, University Hospital, Brest, France,
Department of Nuclear Medicine, University Hospital, Brest, France
*Correspondence: E. Brenaut. E-mail: firstname.lastname@example.org
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Skin ﬁndings of 21st-century
In a recent article ‘Dermatologic Features of Classic Movie Vil-
lains’, the authors found that dermatological ﬁndings, such as
alopecia and scars, are associated with villainous characters in
Their work suggested that dermatological diseases are
used as convenient cues to imply the internal moral degeneracy
of movie villains. There is a concern that such depiction of der-
matological diseases in movies may facilitate the prejudice
against dermatological diseases. However, the study is based on
the ‘AFI’s top 100 movie heroes and villains of all time’ list,
which contains only one movie released in the 21st century. In
fact, all 20 movies analysed in the article were released in the
Therefore, their work may not reﬂect recent
trends in the ﬁlm industry.
Among recent popular ﬁlms, there are a number of movie
heroes with distinct dermatological ﬁndings. A prime example is
Professor X from the X-men series, a mentor and leader of the
team of heroes. Professor X displays total alopecia in most
instalments of the franchise. Other examples include V from V
for Vendetta and Deadpool from the movie Deadpool. Both her-
oes display extensive burns on their bodies.
These instances led us to question whether dermatological
ﬁndings are still associated with evil characters in 21st-century
movies. Metacritic, a website that aggregates expert ratings
across websites, was used to objectively select movies.
movies typically depict a dichotomous relationship between
good and evil, movies from the ‘Best Action Movies’ section of
the ‘The Best Movies in the 21st Century (So Far)’ list were used
Figure 2 (a) HE 9100 Mild epidermal hyperplasia with hyper-
orthokeratosis and acanthosis. The dermis shows numerous
dilated capillaries, some of them being surrounded by mononu-
clear cells. (b) HE 9400 displays focal interface dermatitis with vac-
uolization of some basal keratinocytes and lymphocytic
exocytosis. Some scattered necrotic cells are observed in the
© 2017 European Academy of Dermatology and Venereology
2018, 32, e86–e121
Letters to the Editor