7173 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 ... #Papules #Clinical
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 ... #dermatology #clinical
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 ... auricular papules Clinical
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
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 ... auricular papules Clinical
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
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 ... #Dermatology #Clinical
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,
Pathogenesis and clinical ... red papules -> Gottron