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

A middle-aged man describes progressive difficulty combing his
rash, shawl sign ... and Gottron's papules ... rash, 2) shawl ... usually indicates myopathy ... dermatology #clinical #photo
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Findings: - Heliotrope ... - Gottron's papules ... , inflammatory myopathy ... #Dermatomyositis ... #Diagnosis #Rheumatology
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 ... Liver biopsies show ... #dermatology #diagnosis
Dermatomyositis (DM) and Polymyositis (PM): Pathogenesis and clinical findings
Elevated Antinuclear Antibodies: Anti-Jo-1, Anti-OJ, Anti-Mi2, Anti-SRP, Anti-EJ,
Dermatomyositis ... /- swelling -> Heliotrope ... Rash - Dysphagia ... Polymyositis #PM #Diagnosis ... Pathophysiology #Signs
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 ... • Erythematous rash ... chest (in a V-sign ... : • ILD was diagnosed
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 ... • Heliotrope