14 results
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
shoulders (in a shawl ... fingertips ("mechanic’s hands ... -74%] • Blood tests ... • Mechanic's hands ... #dermatology #diagnosis
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... RashDecisionz #Shawl ... Dermatomyositis #Rash ... Dermatomyositis #Dermatology ... #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
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... the palms of the hands ... #Diagnosis #Clinical ... #Photo #Dermatology
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... trauma leads to skin ... painless, no systemic signs ... Sporotrichiosis #Infection #clinical ... #photo #hand
Palpable Purpura seen in Henoch Schonlein Purpura (HSP, IgA Vasculitis)

55 year old male on tuberculosis treatment
pain involving knees ... rash. ... IgA #Vasculitis #clinical ... #photo #dermatology ... #skin #rash #physicalexam
Raynaud's in Dark Skin
In general for darker skin, most aspects of the skin exam stay constant
Raynaud's in Dark Skin ... aspects of the skin ... #dermatology #brown ... #clinical #photos ... #hands #rheumatology
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
, DIP, elbows, knees ... tendons on the hands ... Gottrons #Papules #Rash ... #Clinical #Photo ... #Hands #Knuckles
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
adults in the west ... Orange or Hep C Clinical ... Physical Exam/Signs ... Hepatomegaly • Skin ... workup #oncology #hematology
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
(blue-purple) rash ... shoulders (in a shawl ... auricular papules Clinical ... diagnosis #management #rheumatology ... #dermatology