7 results
Dermatomyositis
A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over
1) heliotrope rash ... , 2) shawl sign, ... and 3) Gottron's ... usually indicates myopathy ... Papules #Clinical #Photo
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
- Gottron's sign ... - Gottron's papules ... , inflammatory myopathy ... #Dermatomyositis ... #Diagnosis #Rheumatology
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Myositis Necrotizing myopathy ... Dermatomyositis ... can present with rash ... , Shaw sign, holster ... sign, and Gottron's
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
with heliotrope rash ... Gottron's papules ... and 3) Gottron's ... usually indicates myopathy ... dermatology #clinical #photo
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
(blue-purple) rash ... • Erythematous rash ... papules • Inverse Gottron ... severity of the disease ... #dermatology #diagnosis
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
(blue-purple) rash ... • Erythematous rash ... interphalangeal joints: Gottron ... had more severe disease ... #AntiNXP2 #Dermatomyositis
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential Diagnosis ... myopathies Diagnostic ... rash (Gottron papules ... and Gottron sign ... ) • Shawl sign