13 results
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
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
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
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
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Dermatomyositis Symptoms: • Gottron ... rash (Gottron papules ... and Gottron sign ... ) • Shawl sign
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
shoulders (in a shawl ... interphalangeal joints: Gottron
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