19 results
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
Dermatomyositis ... This is a case of dermatomyositis ... heliotrope rash, 2) shawl ... sign, and 3) Gottron's ... Papules #Clinical #Photo
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Systemic Findings in Dermatomyositis ... - Heliotrope sign ... or shawl sign ... - Gottron's sign ... #Dermatomyositis
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... along with other signs ... RashDecisionz #Shawl ... #sign #poikiloderma ... Dermatology #Clinical #Photo
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
Dermatomyositis ... heliotrope rash, shawl ... sign, and Gottron's ... sign, and 3) Gottron's ... dermatology #clinical #photo
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl ... sign) • Violaceous ... disease and ILD • Liver ... Liver biopsies show
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... heliotrope rash, Shaw ... sign, holster sign
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
Inflammatory Myopathies Dermatomyositis ... periorbital heliotrope, shawl ... sign Polymyositis
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... PhysicalExam #Clinical #Photo ... #Sign
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
though there are no signs ... blood vessels, liver ... syphilis #clinical #photo
Holster Sign in Dermatomyositis

Interestingly, poikiloderma and violaceous erythema can occur in sun protected areas as well
Holster Sign in ... Dermatomyositis ... called: The holster sign ... Thighs #SkinRash #Dermatomyositis ... Dermatology #Clinical #Photo