19 results
Heliotrope Rash in Dermatomyositis

Peri-orbital edema and the heliotrope rash that we are all familiar with. Eyelid
Heliotrope Rash ... in Dermatomyositis ... #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Face
Spider Angioma: Dialated superficial arterioles, most commonly associated with advanced liver disease.

Charlie Goldberg, M.D. - UCSD
with advanced liver ... Images #Clinical #Photo ... #Dermatology #Rash
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
(blue-purple) rash ... • Erythematous rash ... disease and ILD • Liver ... Liver biopsies show ... #rheumatology #
Erythroderma - Diagnostic Algorithm. Pathophysiology: 1) Extensive cutaneous capillary dilation, results in widespread exfoliation of the
Pathophysiology: ... germinative skin cells ... Skin-homing T-cells ... #Diagnosis #Dermatology ... #Rash #Erythroderma
Adult Onset Still's Disease - Yamaguchi Criteria
Major criteria:
 - Fever >= 39C lasting >= 1 weeks
- Typical skin rash ... non-pruritic, salmon-pink rash ... Leukocytosis >= 10,000 cells ... Abnormalities in liver ... #Major #Minor #Rheumatology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism
AST and ALT:
 • AST: liver
Liver Chemistry ... In liver, 80% of ... within bile duct cells ... AlkPhos #Bilirubin #Hepatology ... #Pathophysiology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... , hypotension, rash ... sepsis: chronic liver ... #cellulitis #dermatology ... legs #clinical #photo
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Identify Acute Liver ... disease: > 2 • NASH ... intestines, White blood cells ... #differential #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Causes of Acute Liver ... disease: > 2 • NASH ... intestines, white blood cells ... diagnosis #algorithm #hepatology
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
poikiloderma in Dermatomyositis ... poikiloderma of dermatomyositis ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Neck