8 results
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
1) heliotrope rash ... , 2) shawl sign, ... and 3) Gottron's ... usually indicates myopathy ... Papules #Clinical #Photo
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
, shawl sign, and ... , 2) shawl sign, ... usually indicates myopathy ... #dermatology #clinical ... #photo
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... can present with rash ... , Shaw sign, holster ... sign, and Gottron's ... see mechanics hands
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
in Dermatomyositis ... #Papules #Rash ... #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Hands #
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
(blue-purple) rash ... • Erythematous rash ... shoulders (in a shawl ... papules • Inverse Gottron ... #rheumatology #dermatology
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... RashDecisionz #Shawl ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Neck
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Symptoms: • Gottron ... rash (Gottron papules ... and Gottron sign ... ) • Shawl sign ... • Mechanic's hands
Anti-NXP-2 Dermatomyositis

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