DermAtlas: Online Dermatology Image Library dermatology image,dermatomyositis,Gottron papule,heliotrope,poikiloderma,shawl sign,dermatomyositis sine myositis

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_3_080329	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS	*Category:*	collagen vascular disease / papulosquamous eruptions
	*Body Site:*	neck / face	*Age:*	11 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric edema, scaling , atrophy, crusting, and erythema
	*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_2_080329 dermatomyositis_4_080329 dermatomyositis_5_080329

© 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_050709	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / HELIOTROPE	*Category:*	collagen vascular disease
	*Body Site:*	face	*Age:*	5 years
	*Contributor:*	Thomas Crawford
	*Description:*	edematous red patches with fine scale over sunexposed areas
	*Comments:*	This 5-year-old boy developed generalized muscle weakness, fever, and a red scaly patch skin eruption on sunexposed areas of his face, ears, and the extensor surfaces of his extremities. He had marked elevation in muscle enzymes, and a magnetic resonance imaging study of his legs demonstrated changes typical of myositis.

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_2_060423	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / POIKILODERMA	*Category:*	clinical sign / collagen vascular disease / cutaneous sign of systemic disease
	*Body Site:*	back	*Age:*	70 years
	*Contributor:*	Malayil Cyriac, MD
	*Description:*	confluent vilolaceous papules with mottled dyspigmentation and telangiectasias
	*Comments:*	This elderly man with dermatomyositis demonstrates the poikiloderma associated with dermatomyositis.
	*Related Images:*	All related Images dermatomyositis_1_060423 dermatomyositis_3_060423

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_3_060423	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / POIKILODERMA / SHAWL SIGN	*Category:*	clinical sign / collagen vascular disease / cutaneous sign of systemic disease
	*Body Site:*	back / neck	*Age:*	70 years
	*Contributor:*	Malayil Cyriac, MD
	*Description:*	confluent vilolaceous papules with mottled dyspigmentation and telangiectasias
	*Comments:*	This elderly man with dermatomyositis demonstrates the poikiloderma associated with dermatomyositis.
	*Related Images:*	All related Images dermatomyositis_1_060423 dermatomyositis_2_060423

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_1_060423	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / POIKILODERMA / SHAWL SIGN	*Category:*	clinical sign / collagen vascular disease / cutaneous sign of systemic disease
	*Body Site:*	chest	*Age:*	70 years
	*Contributor:*	Malayil Cyriac, MD
	*Description:*	confluent vilolaceous papules with mottled dyspigmentation and telangiectasias
	*Comments:*	This elderly man with dermatomyositis demonstrates the poikiloderma associated with dermatomyositis.
	*Related Images:*	All related Images dermatomyositis_3_060423 dermatomyositis_2_060423

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_1_051030	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / HELIOTROPE	*Category:*	collagen vascular disease / reactive erythema / cutaneous sign of systemic disease
	*Body Site:*	face / total body	*Age:*	67 years
	*Contributor:*	Eleni Theodorakopoulou
	*Description:*	symmetric violaceous patches with edema, some scale, and some necrotic crusts
	*Comments:*	This 67-year-old woman developed the classic cutaneous findings of dermatomyositis without clinical or laboratory evidence of muscle disease one year ago. Serological analysis revealed a positive antinuclear antibody, negative anti-Jo-1 antibody, and normal muscle enzymes. A complete medical examination, MRI and CT examination of the chest, pelvis, and abdomen, and mammography revealed no evidence of internal malignancy. Cutaneous examination revealed diffuse erythema in a shawl-like distribution over the chest and shoulders, a V-shaped distribution over the anterior neck and chest as well as patches over the forehead, malar region and chin, and lower extremities. She also demonstrated Gottron's sign (a symmetric, scaly, violaceous erythematous eruption over the extensor surfaces of the metacarpophalangeal and interphalangeal joints of the fingers) and Gottron�s papules (symmetric,erythematous to purplish,scaly, flat papules on the extensor surfaces of the metacarpophalangeal and interphalangeal joints) and the heliotrope rash (a reddish-violaceous eruption on the upper eyelids, often accompanied by swelling of the eyelid). In some areas on the arms and legs she had necrotic papules and crusts Dermatomyositis sine myositis or amyopathic dermatomyositis has been used to describe patients with the typical rash and histologic changes of dermatomyositis without evidence of myopathy. Many of these patients eventually develop clinical and/or histologic evidence of myositis. In some cases, however, muscle involvement has not occurred for as long as six years. Middle age patients with dermatomyositis and probably amyotrophic dermatomyositis should be carefully evaluated for occult malignancy which has been reported in up to 50 percent of cases. Comments:Although the patient was treated with high doses of prednisone,IV IgG ,AZA & MTX the rash perstisted.
	*Related Images:*	All related Images dermatomyositis_13_051030 dermatomyositis_12_051030 dermatomyositis_11_051030 dermatomyositis_10_051030 dermatomyositis_9_051030 dermatomyositis_8_051030 dermatomyositis_7_051030 dermatomyositis_6_051030 dermatomyositis_5_051030 dermatomyositis_4_051030 dermatomyositis_3_051030 dermatomyositis_2_051030

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_2_051030	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / HELIOTROPE	*Category:*	collagen vascular disease / reactive erythema / cutaneous sign of systemic disease
	*Body Site:*	face / total body	*Age:*	67 years
	*Contributor:*	Eleni Theodorakopoulou
	*Description:*	symmetric violaceous patches with edema, some scale, and some necrotic crusts
	*Comments:*	This 67-year-old woman developed the classic cutaneous findings of dermatomyositis without clinical or laboratory evidence of muscle disease one year ago. Serological analysis revealed a positive antinuclear antibody, negative anti-Jo-1 antibody, and normal muscle enzymes. A complete medical examination, MRI and CT examination of the chest, pelvis, and abdomen, and mammography revealed no evidence of internal malignancy. Cutaneous examination revealed diffuse erythema in a shawl-like distribution over the chest and shoulders, a V-shaped distribution over the anterior neck and chest as well as patches over the forehead, malar region and chin, and lower extremities. She also demonstrated Gottron's sign (a symmetric, scaly, violaceous erythematous eruption over the extensor surfaces of the metacarpophalangeal and interphalangeal joints of the fingers) and Gottron�s papules (symmetric,erythematous to purplish,scaly, flat papules on the extensor surfaces of the metacarpophalangeal and interphalangeal joints) and the heliotrope rash (a reddish-violaceous eruption on the upper eyelids, often accompanied by swelling of the eyelid). In some areas on the arms and legs she had necrotic papules and crusts Dermatomyositis sine myositis or amyopathic dermatomyositis has been used to describe patients with the typical rash and histologic changes of dermatomyositis without evidence of myopathy. Many of these patients eventually develop clinical and/or histologic evidence of myositis. In some cases, however, muscle involvement has not occurred for as long as six years. Middle age patients with dermatomyositis and probably amyotrophic dermatomyositis should be carefully evaluated for occult malignancy which has been reported in up to 50 percent of cases. Comments:Although the patient was treated with high doses of prednisone,IV IgG ,AZA & MTX the rash perstisted.
	*Related Images:*	All related Images dermatomyositis_13_051030 dermatomyositis_12_051030 dermatomyositis_11_051030 dermatomyositis_10_051030 dermatomyositis_9_051030 dermatomyositis_8_051030 dermatomyositis_7_051030 dermatomyositis_6_051030 dermatomyositis_5_051030 dermatomyositis_4_051030 dermatomyositis_3_051030 dermatomyositis_1_051030

© 2001-2010, DermAtlas	*Image Name:*	dermatomyositis_3_051030	*File Type:*	jpg
	*Diagnosis:*	DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / HELIOTROPE	*Category:*	collagen vascular disease / reactive erythema / cutaneous sign of systemic disease
	*Body Site:*	face / total body	*Age:*	67 years
	*Contributor:*	Eleni Theodorakopoulou
	*Description:*	symmetric violaceous patches with edema, some scale, and some necrotic crusts
	*Comments:*	This 67-year-old woman developed the classic cutaneous findings of dermatomyositis without clinical or laboratory evidence of muscle disease one year ago. Serological analysis revealed a positive antinuclear antibody, negative anti-Jo-1 antibody, and normal muscle enzymes. A complete medical examination, MRI and CT examination of the chest, pelvis, and abdomen, and mammography revealed no evidence of internal malignancy. Cutaneous examination revealed diffuse erythema in a shawl-like distribution over the chest and shoulders, a V-shaped distribution over the anterior neck and chest as well as patches over the forehead, malar region and chin, and lower extremities. She also demonstrated Gottron's sign (a symmetric, scaly, violaceous erythematous eruption over the extensor surfaces of the metacarpophalangeal and interphalangeal joints of the fingers) and Gottron�s papules (symmetric,erythematous to purplish,scaly, flat papules on the extensor surfaces of the metacarpophalangeal and interphalangeal joints) and the heliotrope rash (a reddish-violaceous eruption on the upper eyelids, often accompanied by swelling of the eyelid). In some areas on the arms and legs she had necrotic papules and crusts Dermatomyositis sine myositis or amyopathic dermatomyositis has been used to describe patients with the typical rash and histologic changes of dermatomyositis without evidence of myopathy. Many of these patients eventually develop clinical and/or histologic evidence of myositis. In some cases, however, muscle involvement has not occurred for as long as six years. Middle age patients with dermatomyositis and probably amyotrophic dermatomyositis should be carefully evaluated for occult malignancy which has been reported in up to 50 percent of cases. Comments:Although the patient was treated with high doses of prednisone,IV IgG ,AZA & MTX the rash perstisted.
	*Related Images:*	All related Images dermatomyositis_13_051030 dermatomyositis_12_051030 dermatomyositis_11_051030 dermatomyositis_10_051030 dermatomyositis_9_051030 dermatomyositis_8_051030 dermatomyositis_7_051030 dermatomyositis_6_051030 dermatomyositis_5_051030 dermatomyositis_4_051030 dermatomyositis_2_051030 dermatomyositis_1_051030