Dermatomyositis A middle-aged man describes progressive difficulty combing his hair and rising from a seated position over a period of several months. This is a case of dermatomyositis, with: 1) heliotrope rash, 2) shawl sign, and 3) Gottron's papules (more extensive than typical). Malignancy must be sought. Nutrient def. w dermatitis also possible but proximal muscle weakness usually indicates myopathy Dr. André Mansoor https://twitter.com/AndreMansoor #Dermatomyositis #ShawlSign #HeliotropeRash #Gottrons #Papules #Clinical #Photo
