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Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
Gottron's Papules ... classic clue is Gottron's ... RashDecisionz #Gottrons
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
shawl sign, and 3) Gottron's ... HeliotropeRash #Gottrons
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
shawl sign - Gottron's ... sign - Gottron's
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
holster sign, and Gottron's
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Rheumatic fever Gottron's
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
shawl sign, and Gottron's ... shawl sign, and 3) Gottron's
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
interphalangeal joints: Gottron ... papules • Inverse Gottron
Dermatomyositis (DM) and Polymyositis (PM): Pathogenesis and clinical findings
Elevated Antinuclear Antibodies: Anti-Jo-1, Anti-OJ, Anti-Mi2, Anti-SRP, Anti-EJ,
red papules -> Gottron
Autoimmune Myositis - Differential Diagnosis Framework

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

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
interphalangeal joints: Gottron