This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Skin, Subject name: Medicine
A 63-year-old woman develops skin lesions, and difficulty getting out of a chair. A clinical diagnosis of dermatomyositis is made. What might the findings include?For the above patient, select the associated skin and clinical findings. 
Select and explain. 
A. rarely involves border of scalp, B. discoloration of upper eyelids, C. never a permanent effect on skin, D. potentially aggravated by contact with the skin
B: discoloration of upper eyelids
Answer: B: discoloration of upper eyelids 
Explanation: In dermatomyositis, the dermatitis may be the most striking feature of the illness or so minor as to be easily overlooked. The classic manifestation is a purplish-red heliotrope erythema of the eyelids, upper cheeks, forehead, and temples, often with edema of the eyelids and of the periorbital tissue. Telangiectasia and skin atrophy can also occur. The typical hand changes involve scaly, bluish-red plaques around the base of the nails and backs of the joints of the fingers. These are most frequently found in elderly patients and are called Gottron papules. There is an association with malignancy in those over 55 years of age.