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The patient does not have any evidence of any problems with periungual erythema or capillary tortuosity and does appear to have any evidence of (sounds like) "heliar, topor or malar rash" ... I'm stumped!
Without knowing the history, this is just a guess.
heliotrope or malar rash
See if any of this fits:
heliotrope rash
This rash can be smooth, slightly elevated or seem scaly, but it is always purplish in color. Seen in a disease called dermatomyositis, you will see it on your eyelids and over specific joints of your fingers. Other possible locations include your forehead, chest, back, forearms, elbows, lower legs and knees.
malar rash
A malar rash is a rash that covers the bridge of your nose and some of your cheeks. This is why it also has the nickname of "butterfly rash." This rash is very photosensitive, becoming a darker red in sunlight. It can be seen in an autoimmune disease called systemic lupus erythematosus (SLE), a disease that primarily affects women. It is also seen in arthritic diseases that have been caused by viruses.
If not, sorry, I have no other ideas.