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, ... #ShawlSign #HeliotropeRash ... #Gottrons #Papules ... #Clinical #Photo
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
with heliotrope rash ... , shawl sign, and ... , 2) shawl sign, ... #dermatology #clinical ... #photo
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 ... • Mechanic's hands ... #rheumatology #dermatology
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 ... papules 30% w/ ... see mechanics hands
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
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
in Dermatomyositis ... tendons on the hands ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #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 ... chest (in a V-sign ... shoulders (in a shawl ... #rheumatology #dermatology
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