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
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