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diagnosis dermatology clinical differential photo algorithm causes rash skin skinrash nejm rheumatology management derm dermatomyositis table primary comparison microscopy pathology
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 ... papules (more extensive ... 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 ... papules A middle-aged ... sign, and 3) Gottron's ... papules (more extensive
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 ... papules - Raynaud's
ANTI-MDA5 DERMATOMYOSITIS Cutaneous manifestations: • Periorbital heliotrope (blue-purple) rash with edema • Erythematous rash on the face, or the
shoulders (in a shawl ... • Violaceous papules ... interphalangeal joints: Gottron ... Gottron’s sign ... erythematous auricular papules
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 ... papules 30% w/
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 ... ’s papules • Palmar ... papules: can be ... erythematous auricular papules
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 ... papules which are ... The papules are ... RashDecisionz #Gottrons
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
Common Dermatological Conditions - Distribution and Morphology • Acne vulgaris - Face, upper back, chest -
, erythematous papules ... telangiectases, papules ... generalized) - Papules ... carcinoma - Face - Papule ... , to papules, to
Reactive Skin Rash - Differential Diagnosis Algorithm Reactive erythematous with various morphology • Urticaria - Firm /
Firm / edematous papules ... possibly with macules ... , papules, vesicles
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