15 results
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
This is a case of ... 1) heliotrope rash ... and 3) Gottron's papules ... HeliotropeRash #Gottrons #Papules ... #Clinical #Photo
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
ANTI-MDA5 DERMATOMYOSITIS ... (blue-purple) rash ... • Erythematous rash ... Men • ~50% of cases ... #rheumatology #
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Joint Pain Rash ... infection Malar rash ... Seborrhea • Dermatomyositis ... fever Gottron's papules ... differential #diagnosis #rheumatology
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... can present with rash ... including heliotrope rash ... and Gottron's papules ... Myositis #diagnosis #rheumatology
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
Gottron's Papules ... in Dermatomyositis ... The papules are ... #Rash #Dermatomyositis ... Dermatology #Clinical #Photo
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Syphilis (Red/Copper Papules ... & Symmetrical Rash ... (Measles- like rash ... Diagnosis #Algorithm #Orthopedics ... #Causes
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
Dermatomyositis ... and Gottron's papules ... out this is a case ... and 3) Gottron's papules ... dermatology #clinical #photo
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Migratory red Macules ... (Polymyositis/Dermatomyositis ... Diagnosis #Algorithm #Orthopedics ... #Causes
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
(blue-purple) rash ... • Erythematous rash ... • Palmar papules ... Muscle atrophy may cause ... diagnosis #management #rheumatology
Dermatologic Manifestations of Granulomatosis with Polyangiitis (GPA)

Skin involvement in granulomatosis with polyangiitis (GPA) is common and
GPA causes disease ... Maculopapular rash ... • Urticaria • Papulo-necrotic ... #dermatology #rash ... #diagnosis #rheumatology