A 49-year-old woman comes to the physician for a 2-month history of gradually worsening left hip pain. She has a history of dermatomyositis managed with prednisone. Physical examination shows duskiness of the eyelids bilaterally, violaceous papules on the knuckles, and rough-surfaced hands. Vitals are normal.
Which of the following is most likely to be seen in this patient?
A) Necrosis
B) Osteomalacia
C) Osteoporosis
D) Synovitis
E) Vasculitis
