Cutaneous and Systemic Findings in Dermatomyositis Cutaneous Findings: - Heliotrope sign and edema - Nail-fold changes - Photodistributed eruption - Poikiloderma and V-neck sign or shawl sign - Gottron's sign - Gottron's papules - Raynaud's phenomenon - Calcinosis cutis - Scalp erythema and scale - Holster sign Systemic Findings: - Symmetric, inflammatory myopathy (Triceps and quadriceps usually affected first and may be tender) - Interstitial lung disease - Gastrointestinal - Dysphagia (upper esophagus), gastroesophageal reflux (lower esophagus) In children, vasculopathy of the GI tract - Cardiac disease - Arrhythmias - Inflammatory polyarthritis #Cutaneous #Systemic #Findings #Signs #Dermatomyositis #Diagnosis #Rheumatology