23 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
- Heliotrope sign ... Poikiloderma and V-neck sign ... or shawl sign ... - Gottron's sign ... scale - Holster sign
Shawl sign poikiloderma in Dermatomyositis

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

A middle-aged man describes progressive difficulty combing his
sign, and Gottron's ... sign, and 3) Gottron's ... #sign #GottronsPapules ... #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 ... Inverse Gottron’s sign ... ulcerations • Skin
Dermatofibroma 
 - Skin-colored to brown papule or nodule 
 - Firm, indurated texture 
 -
Dermatofibroma - Skin-colored ... Male - Dimple sign ... Dermatofibroma #Dermatology ... Benign #Clinical #Photo
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... heliotrope rash, Shaw ... sign, holster sign ... Myositis #diagnosis #rheumatology
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
redness of the skin ... the Nikolsky sign ... the Nikolsky sign ... fever or Nikolsky sign ... #Diagnosis #Dermatology
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... organ-specific signs ... symptoms (eg, skin ... Eosinophil #Disorders #Algorithm ... Differential #diagnosis #hematology
Holster Sign in Dermatomyositis

Interestingly, poikiloderma and violaceous erythema can occur in sun protected areas as well
Holster Sign in ... frequently overlooked sign ... called: The holster sign ... RashDecisionz #Holster #Sign ... #Photo