10 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 papules ... HeliotropeRash #Gottrons #Papules ... #Clinical #Photo
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Dermatomyositis ... can present with rash ... including heliotrope rash ... , Shaw sign, holster ... and Gottron's papules
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 ... 1) heliotrope rash ... #dermatology #clinical ... #photo
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
ANTI-MDA5 DERMATOMYOSITIS ... (blue-purple) rash ... • Erythematous rash ... shoulders (in a shawl ... Clinical and
Shawl sign poikiloderma in Dermatomyositis

Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... RashDecisionz #Shawl ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Neck
Gottron's Papules in Dermatomyositis

Another classic clue is Gottron's papules which are small grouped flat topped papules
Gottron's Papules ... in Dermatomyositis ... #Rash #Dermatomyositis ... #Dermatology #Clinical ... #Photo #Hands #
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 ... shoulders (in a shawl ... • Palmar papules ... Clinical and
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
evidence of (fatigue, rash ... eruption - Butterfly rash ... Photosensitive rash ... Still disease, dermatomyositis ... Photosensitivity • Malar rash
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis ... Symptoms: • Gottron rash ... (Gottron papules ... Gottron sign) • Shawl ... Antisynthetase syndrome
Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand
70 M vertebral osteomyelitis on vancomycin and cefepime for
diffuse palpable rash ... Churg-Strauss syndrome ... infections, foods, autoimmune ... #dermatology #clinical ... #photo