34 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
Asymmetrical Tonic Neck Reflex (ATNR)

This primitive reflex found in newborn babies that normally vanishes around 4
(ATNR) This primitive ... newborn babies that normally ... #PhysicalExam #clinical ... Neurology #Peds #Pediatrics ... #Normal #Primitive
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 ... 1) heliotrope rash ... Gottrons #Papules #Clinical ... #Photo
Positive Babinski Reflex with dorsiflexion of the big toe after stroking the sole of the foot.
This
extensor response is normal ... Positive #Peds #Pediatrics ... #Clinical #Video ... #PhysicalExam #Primitive
The asphyxia escape reflex is assessed by placing the child in the prone position on the
#PhysicalExam #clinical ... Neurology #Peds #Pediatrics ... #Normal #Primitive
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Anti-Jo, +Anti-Mi2 Dermatomyositis ... muscle weakness, rash ... Elevated ESR, Normal ... muscle weakness • Normal ... diagnosis #comparison #rheumatology
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
the ED with a rash ... the patient’s rash ... Syndrome #SSSS #Clinical ... #Photo #Peds #Pediatrics
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
(blue-purple) rash ... • Erythematous rash ... located on the dorsal ... auricular papules Clinical ... #rheumatology #
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... arthritis, Skin rash ... • Muscular: normal ... CK, normal biopsy ... management #treatment #rheumatology
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
poikiloderma in Dermatomyositis ... differentiate it from normal ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Neck