6 results
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... can present with rash ... including heliotrope ... rash, Shaw sign ... and Gottron's papules
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
, with: 1) heliotrope ... rash, 2) shawl ... sign, and 3) Gottron's ... usually indicates myopathy ... #Papules #Clinical
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
rash, shawl sign ... rash, 2) shawl ... sign, and 3) Gottron's ... #shawl #sign #GottronsPapules ... #dermatology #clinical
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
• Periorbital heliotrope ... (blue-purple) rash ... • Erythematous rash ... shoulders (in a shawl ... #rheumatology #
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
rash (Gottron papules ... and Gottron sign ... ) • Shawl sign ... • Heliotrope • ... #Myopathy #rheumatology
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
• Periorbital heliotrope ... (blue-purple) rash ... • Erythematous rash ... shoulders (in a shawl ... #dermatology