14 results
Heliotrope Rash in Dermatomyositis

Peri-orbital edema and the heliotrope rash that we are all familiar with. Eyelid
Heliotrope Rash ... in Dermatomyositis ... #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Face
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Check Acute viral hepatitis ... Check Acute viral hepatitis ... week • Direct bilirubin ... disease: > 2 • NASH ... #differential #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
week • Direct bilirubin ... disease: > 2 • NASH ... Chronic viral hepatitis ... Elevation: • Bilirubin ... diagnosis #algorithm #hepatology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... injury (INR > 2, bilirubin ... liver failure #HepatitisB ... #Indications #management ... #hepatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
arthritis, Skin rash ... hepatomegaly, hepatitis ... Disease #diagnosis #management ... #treatment #rheumatology
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
poikiloderma in Dermatomyositis ... poikiloderma of dermatomyositis ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Neck
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
Gottron's Papules in Dermatomyositis ... Gottrons #Papules #Rash ... #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Hands #
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
Dermatomyositis ... with heliotrope rash ... 1) heliotrope rash ... GottronsPapules #dermatology ... #clinical #photo
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
evidence of (fatigue, rash ... Still disease, dermatomyositis ... Malignancy (e.g. hematologic ... Noninfectious hepatitis ... vein thrombosis Hematologic
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Petechial or purpuric rash ... ↑ AST ↑ ALT ↑ bilirubin ... Syndrome #Diagnosis #Management ... #Hematology #Rheumatology