9 results
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
describes progressive difficulty ... dermatomyositis, with: 1) heliotrope ... rash, 2) shawl ... Gottrons #Papules #Clinical ... #Photo
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
Christmas Tree Rash ... palms/soles - Differential ... Pityriasis #rosea #clinical ... #dermatology #photo ... #PhysicalExam
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
rash, shawl sign ... describes progressive difficulty ... out this is a case ... rash, 2) shawl ... #clinical #photo
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
marine microbiota & causes ... hemochromatosis, hemolytic ... #cellulitis #dermatology ... #legs #clinical ... #photo
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
dogs & latter can cause ... gram-negative bacillus cause ... the organism is difficult ... #dermatology #clinical ... #photo
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
Secondary Syphilis - Rash ... present in 80% of cases ... Secondary #Syphilis #Rash ... #clinical #photo ... #physicalexam
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... , mucositis • Rash ... pulmonary infiltrates, hemoptysis ... infiltrates/cavities, hemoptysis ... tract, and often causes
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
subcutaneous edema Pts ... • Periorbital heliotrope ... (blue-purple) rash ... auricular papules Clinical ... Muscle atrophy may cause
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Symptoms: • Gottron rash ... Shawl sign • Heliotrope ... statins - probably caused ... #differential #