7 results
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 ... #shawl #sign #GottronsPapules ... #dermatology #clinical ... #photo
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
Dermatomyositis ... , with: 1) heliotrope ... rash, 2) shawl ... sign, and 3) Gottron's ... Papules #Clinical #Photo
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... including heliotrope ... rash, Shaw sign ... , holster sign, ... 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
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 #dermatology
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 ... shoulders (in a shawl ... #diagnosis #management ... #rheumatology #dermatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Symptoms: • Gottron rash ... papules and Gottron sign ... ) • Shawl sign ... • Heliotrope • ... • Mechanic's hands