DermAtlas: Online Dermatology Image Library dermatology image,dermatomyositis,dermatomyositis sine myositis,Gottron papule

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_1_080416	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease
	*Body Site:*	hand / finger	*Age:*	6 years
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	symmetric acrally distributed well demarcated pink papules with central atrophy
	*Comments:*	This otherwise healthy 6-year-old girl had a several month history of progressive skin changes on the dorsal fingers, a new calcified nodule on the right volar wrist, and intermittent heliotrope rash. There was no clinical or serologic evidence of muscle involvement on two separate screenings 4 months apart. Magnetic resonance imaging of the upper legsI was ordered to rule out subtle myositis and is currently pending.
	*Related Images:*	All related Images dermatomyositis_7_080416 dermatomyositis_5_080416 dermatomyositis_4_080416 dermatomyositis_3_080416 dermatomyositis_2_080416

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_2_080416	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease
	*Body Site:*	hand / finger	*Age:*	6 years
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	symmetric acrally distributed well demarcated pink papules with central atrophy
	*Comments:*	This otherwise healthy 6-year-old girl had a several month history of progressive skin changes on the dorsal fingers, a new calcified nodule on the right volar wrist, and intermittent heliotrope rash. There was no clinical or serologic evidence of muscle involvement on two separate screenings 4 months apart. Magnetic resonance imaging of the upper legsI was ordered to rule out subtle myositis and is currently pending.
	*Related Images:*	All related Images dermatomyositis_7_080416 dermatomyositis_5_080416 dermatomyositis_4_080416 dermatomyositis_3_080416 dermatomyositis_1_080416

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_3_080416	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease
	*Body Site:*	hand / finger	*Age:*	6 years
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	symmetric acrally distributed well demarcated pink papules with central atrophy
	*Comments:*	This otherwise healthy 6-year-old girl had a several month history of progressive skin changes on the dorsal fingers, a new calcified nodule on the right volar wrist, and intermittent heliotrope rash. There was no clinical or serologic evidence of muscle involvement on two separate screenings 4 months apart. Magnetic resonance imaging of the upper legsI was ordered to rule out subtle myositis and is currently pending.
	*Related Images:*	All related Images dermatomyositis_7_080416 dermatomyositis_5_080416 dermatomyositis_4_080416 dermatomyositis_2_080416 dermatomyositis_1_080416

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_2_080329	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease / papulosquamous eruptions
	*Body Site:*	hand / knuckle	*Age:*	11 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric edema, scaling , atrophy, crusting, and erythema over bony prominences
	*Comments:*	This 11-year-old girl with dermatomyositis in remission developed increasing skin changes on her face and over bony prominences of her hands, arms, and knees.
	*Related Images:*	All related Images dermatomyositis_1_080329 dermatomyositis_3_080329 dermatomyositis_4_080329 dermatomyositis_5_080329

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_1_080329	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease / papulosquamous eruptions
	*Body Site:*	hand / knuckle	*Age:*	11 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric edema, scaling , atrophy, crusting, and erythema over bony prominences
	*Comments:*	This 11-year-old girl with dermatomyositis in remission developed increasing skin changes on her face and over bony prominences of her hands, arms, and knees.
	*Related Images:*	All related Images dermatomyositis_2_080329 dermatomyositis_3_080329 dermatomyositis_4_080329 dermatomyositis_5_080329

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_1_050103	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease / reactive erythema / photosensitivity, photoexacerbated
	*Body Site:*	hand / finger	*Age:*	60 years
	*Contributor:*	Shahbaz A. Janjua, MD
	*Description:*	symmetric erythematous scaly patches
	*Comments:*	This 60-year-old man developed proximal muscle weakness about 6 months earlier followed by symmetric periorbital erythema and edema(heliotrope), erythematous slightly scaly plaques over the bony prominences, erythematous papules over the knuckles (Gottrons papules)and periungual telangiectasias. Serological analysis revealed a positive ANA and raised creatine kinase levels. Dermatomyositis(DM) is an idiopathic disorder characterised by an inflammatory myopathy and characteristic skin manifestations. The average age at diagnosis is 40, and almost twice as many women are affected as men. In 1975, Bohan and Peter first suggested a set of criteria to aid in diagnosing and classifying DM and polymyositis. The cutaneous manifestations consist of heliotrope(red-purple edematous erythema on the upper palpebra), Gottron's sign( red-purple keratotic, atrophic erythema or macules on the extensor surface of finger joints), slightly raised red-purple erythema over elbows or knees. Proximal muscle weakness which is usually associated with muscle tenderness and changes on electromyography (short-duration, polyphasic motor unit potentials with spontaneous fibrillation potentials), may precede or follow the cutaneous manifestations. Systemic manifestations inculding arthralgias, arthritis, dyspnea, dysphagia, arrhythmias, and dysphonia may occur in DM but malignancy is common in adults over the age of 60 years. Serum creatine kinase and aldolase levels are usually raised. Although a positive antinuclear antibody result is common in patients with DM but anti-Mi-1 is highly specific for DM. The cutaneous manifestations are treated by avoiding sun exposure and by using sunscreens, topical corticosteroids, antimalarial agents, and/or methotrexate. The myopathy component is treated with oral corticosteroids with or without an immunosuppressive agent. References: 1. Bohan A, Peter JB: Polymyositis and dermatomyositis (first of two parts). N Engl J Med 1975 Feb 13; 292(7): 344-7 2. Callen JP: Dermatomyositis. Lancet 2000 Jan 1; 355(9197) 3. Euwer RL, Sontheimer RD. Dermatologic aspects of myositis. Curr Opin Rheumatol 1994;6:583-9.
	*Related Images:*	All related Images dermatomyositis_18_050103 dermatomyositis_17_050103 dermatomyositis_16_050103 dermatomyositis_15_050103 dermatomyositis_14_050103 dermatomyositis_13_050103 dermatomyositis_12_050103 dermatomyositis_11_050103 dermatomyositis_10_050103 dermatomyositis_9_050103 dermatomyositis_8_050103 dermatomyositis_7_050103 dermatomyositis_6_050103 dermatomyositis_5_050103 dermatomyositis_4_050103 dermatomyositis_3_050103 dermatomyositis_2_050103

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_2_050103	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease / reactive erythema / photosensitivity, photoexacerbated
	*Body Site:*	hand / knuckle finger	*Age:*	60 years
	*Contributor:*	Shahbaz A. Janjua, MD
	*Description:*	symmetric erythematous scaly patches
	*Comments:*	This 60-year-old man developed proximal muscle weakness about 6 months earlier followed by symmetric periorbital erythema and edema(heliotrope), erythematous slightly scaly plaques over the bony prominences, erythematous papules over the knuckles (Gottrons papules)and periungual telangiectasias. Serological analysis revealed a positive ANA and raised creatine kinase levels. Dermatomyositis(DM) is an idiopathic disorder characterised by an inflammatory myopathy and characteristic skin manifestations. The average age at diagnosis is 40, and almost twice as many women are affected as men. In 1975, Bohan and Peter first suggested a set of criteria to aid in diagnosing and classifying DM and polymyositis. The cutaneous manifestations consist of heliotrope(red-purple edematous erythema on the upper palpebra), Gottron's sign( red-purple keratotic, atrophic erythema or macules on the extensor surface of finger joints), slightly raised red-purple erythema over elbows or knees. Proximal muscle weakness which is usually associated with muscle tenderness and changes on electromyography (short-duration, polyphasic motor unit potentials with spontaneous fibrillation potentials), may precede or follow the cutaneous manifestations. Systemic manifestations inculding arthralgias, arthritis, dyspnea, dysphagia, arrhythmias, and dysphonia may occur in DM but malignancy is common in adults over the age of 60 years. Serum creatine kinase and aldolase levels are usually raised. Although a positive antinuclear antibody result is common in patients with DM but anti-Mi-1 is highly specific for DM. The cutaneous manifestations are treated by avoiding sun exposure and by using sunscreens, topical corticosteroids, antimalarial agents, and/or methotrexate. The myopathy component is treated with oral corticosteroids with or without an immunosuppressive agent. References: 1. Bohan A, Peter JB: Polymyositis and dermatomyositis (first of two parts). N Engl J Med 1975 Feb 13; 292(7): 344-7 2. Callen JP: Dermatomyositis. Lancet 2000 Jan 1; 355(9197) 3. Euwer RL, Sontheimer RD. Dermatologic aspects of myositis. Curr Opin Rheumatol 1994;6:583-9.
	*Related Images:*	All related Images dermatomyositis_18_050103 dermatomyositis_17_050103 dermatomyositis_16_050103 dermatomyositis_15_050103 dermatomyositis_14_050103 dermatomyositis_13_050103 dermatomyositis_12_050103 dermatomyositis_11_050103 dermatomyositis_10_050103 dermatomyositis_9_050103 dermatomyositis_8_050103 dermatomyositis_7_050103 dermatomyositis_6_050103 dermatomyositis_5_050103 dermatomyositis_4_050103 dermatomyositis_3_050103 dermatomyositis_1_050103

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_3_050103	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease / reactive erythema / photosensitivity, photoexacerbated
	*Body Site:*	hand / knuckle finger / finger	*Age:*	60 years
	*Contributor:*	Shahbaz A. Janjua, MD
	*Description:*	symmetric erythematous scaly patches
	*Comments:*	This 60-year-old man developed proximal muscle weakness about 6 months earlier followed by symmetric periorbital erythema and edema(heliotrope), erythematous slightly scaly plaques over the bony prominences, erythematous papules over the knuckles (Gottrons papules)and periungual telangiectasias. Serological analysis revealed a positive ANA and raised creatine kinase levels. Dermatomyositis(DM) is an idiopathic disorder characterised by an inflammatory myopathy and characteristic skin manifestations. The average age at diagnosis is 40, and almost twice as many women are affected as men. In 1975, Bohan and Peter first suggested a set of criteria to aid in diagnosing and classifying DM and polymyositis. The cutaneous manifestations consist of heliotrope(red-purple edematous erythema on the upper palpebra), Gottron's sign( red-purple keratotic, atrophic erythema or macules on the extensor surface of finger joints), slightly raised red-purple erythema over elbows or knees. Proximal muscle weakness which is usually associated with muscle tenderness and changes on electromyography (short-duration, polyphasic motor unit potentials with spontaneous fibrillation potentials), may precede or follow the cutaneous manifestations. Systemic manifestations inculding arthralgias, arthritis, dyspnea, dysphagia, arrhythmias, and dysphonia may occur in DM but malignancy is common in adults over the age of 60 years. Serum creatine kinase and aldolase levels are usually raised. Although a positive antinuclear antibody result is common in patients with DM but anti-Mi-1 is highly specific for DM. The cutaneous manifestations are treated by avoiding sun exposure and by using sunscreens, topical corticosteroids, antimalarial agents, and/or methotrexate. The myopathy component is treated with oral corticosteroids with or without an immunosuppressive agent. References: 1. Bohan A, Peter JB: Polymyositis and dermatomyositis (first of two parts). N Engl J Med 1975 Feb 13; 292(7): 344-7 2. Callen JP: Dermatomyositis. Lancet 2000 Jan 1; 355(9197) 3. Euwer RL, Sontheimer RD. Dermatologic aspects of myositis. Curr Opin Rheumatol 1994;6:583-9.
	*Related Images:*	All related Images dermatomyositis_18_050103 dermatomyositis_17_050103 dermatomyositis_16_050103 dermatomyositis_15_050103 dermatomyositis_14_050103 dermatomyositis_13_050103 dermatomyositis_12_050103 dermatomyositis_11_050103 dermatomyositis_10_050103 dermatomyositis_9_050103 dermatomyositis_8_050103 dermatomyositis_7_050103 dermatomyositis_6_050103 dermatomyositis_5_050103 dermatomyositis_4_050103 dermatomyositis_2_050103 dermatomyositis_1_050103

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_1_041010	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease
	*Body Site:*	hand / knee	*Age:*	5 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric pink scaly patches with minimal atrophy
	*Comments:*	A 5-year-old girl developed progressive proximal muscle weakness associated with a red scaly patches on the extensor surfaces of her arms and legs and the bony prominences of her hands and feet. She also had a heliotrope with edema of the eye lids. The muscle weakness and cutaneous findings improved dramatically with oral steroids tapered from a starting dose of 1.5 mg/kg/day. A skin biopsy from her finger showed an interface dermatitis with vacuolar changes consistent with a collagen vascular disease.
	*Related Images:*	All related Images dermatomyositis_2_041010 calcified_nodule_dermatomyositis_3_041114 calcified_nodule_dermatomyositis_2_041114 calcified_nodule_dermatomyositis_1_041114 dermatomyositis_1_050502

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_2_041010	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / GOTTRON PAPULE	*Category:*	collagen vascular disease
	*Body Site:*	hand / knee	*Age:*	5 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric pink scaly patches with minimal atrophy
	*Comments:*	A 5-year-old girl developed progressive proximal muscle weakness associated with a red scaly patches on the extensor surfaces of her arms and legs and the bony prominences of her hands and feet. She also had a heliotrope with edema of the eye lids. The muscle weakness and cutaneous findings improved dramatically with oral steroids tapered from a starting dose of 1.5 mg/kg/day. A skin biopsy from her finger showed an interface dermatitis with vacuolar changes consistent with a collagen vascular disease.
	*Related Images:*	All related Images dermatomyositis_1_041010 calcified_nodule_dermatomyositis_3_041114 calcified_nodule_dermatomyositis_2_041114 calcified_nodule_dermatomyositis_1_041114 dermatomyositis_1_050502