13 results
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
shoulders (in a shawl ... interphalangeal joints: Gottron ... papules • Inverse Gottron ... Mechanic's hands #AntiMDA5DM ... #AntiMDA5 #Dermatomyositis
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
heliotrope rash, 2) shawl ... sign, and 3) Gottron's ... HeliotropeRash #Gottrons
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
V-neck sign or shawl ... sign - Gottron's ... sign - Gottron's
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
heliotrope rash, Shaw ... holster sign, and Gottron's
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
heliotrope rash, shawl ... sign, and Gottron's ... heliotrope rash, 2) shawl ... sign, and 3) Gottron's ... heliotrope #skinrash #shawl
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
Gottron's Papules ... classic clue is Gottron's ... RashDecisionz #Gottrons
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Rheumatic fever Gottron's
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
periorbital heliotrope, shawl
Dermatomyositis (DM) and Polymyositis (PM): Pathogenesis and clinical findings
Elevated Antinuclear Antibodies: Anti-Jo-1, Anti-OJ, Anti-Mi2, Anti-SRP, Anti-EJ,
red papules -> Gottron
C-REACTIVE PROTEIN
Discovered by Tillett & Francis in 1930. First identified as a substance in the serum
and the results shall