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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