11 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Systemic Findings in Dermatomyositis ... Findings: - Heliotrope ... and scale - Holster ... #Dermatomyositis ... #Diagnosis #Rheumatology
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... rash including heliotrope ... rash, Shaw sign ... , holster sign, ... Myositis #diagnosis #rheumatology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
• Psoriasis Heliotrope ... • Dermatomyositis ... Sarcoidosis #dermatology ... #skin #rashes #differential ... #diagnosis #rheumatology
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
Dermatomyositis ... with heliotrope ... rash, shawl sign ... #dermatology #clinical ... #photo
Holster Sign in Dermatomyositis

Interestingly, poikiloderma and violaceous erythema can occur in sun protected areas as well
Holster Sign in ... Dermatomyositis ... SkinRash #Dermatomyositis ... #Dermatology #Clinical ... #Photo
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
• Periorbital heliotrope ... chest (in a V-sign ... Inverse Gottron’s sign ... #rheumatology # ... dermatology #diagnosis
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
Inflammatory Myopathies Dermatomyositis ... Cancer-associated, periorbital heliotrope ... , shawl sign Polymyositis ... Inflammatory #Myopathies #differential ... diagnosis #comparison #rheumatology
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... along with other signs ... symptoms helps differentiate ... #Dermatology #Clinical ... #Photo #Neck
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
• Periorbital heliotrope ... chest (in a V-sign ... shoulders (in a shawl sign ... diagnosis #management #rheumatology ... #dermatology
Poikiloderma of Civatte (Photodamage Poikiloderma)

Poikiloderma in general is a common finding in older individuals with chronic
poikiloderma of dermatomyositis ... along with other signs ... symptoms helps differentiate ... Photodamage #Rash #Dermatology ... #Clinical #Photo