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Summary

Description
English: Dermatomyositis, Heliotrope. In patients who have darker skin types (type III - VI skin), heliotrope can be subtle and perceived as inactive or normal, resulting in under-diagnosis in this presenting sign of dermatomyositis. A hallmark (i.e., pathognomonic) sign of dermatomyositis, consisting of violaceous to erythematous discrete or confluent macules confined to the upper eyelids. An eruption with similar characteristics can extend periorbitally. Heliotrope is often associated with periorbital edema and telangiectasias of the upper eyelids. In the resolution stage, atrophy or dyspigmentation (hypo- or hyperpigmentation) may be apparent.
Source http://dermatology.cdlib.org/1502/reviews/photoessay/18.jpg
Author Elizabeth M. Dugan, Adam M. Huber, Frederick W. Miller, Lisa G. Rider
Other versions
  • Gottron's papules: discrete erythematous papules.
    Gottron's papules: discrete erythematous papules.
  • Gottron's papules: erythematous to violaceous raised papules.
    Gottron's papules: erythematous to violaceous raised papules.
  • Gottron's papules: characteristic raised erythematous papules.
    Gottron's papules: characteristic raised erythematous papules.
  • Gottron's papule: erythematous plaques; considered an extension of the GP spectrum.
    Gottron's papule: erythematous plaques; considered an extension of the GP spectrum.
  • Gottron's papules: erythematous plaques. Focal area of dystrophic calcification at the site.
    Gottron's papules: erythematous plaques. Focal area of dystrophic calcification at the site.
  • Gottron's papules: prominent atrophy, porcelain white scarring, and telangiectasia.
    Gottron's papules: prominent atrophy, porcelain white scarring, and telangiectasia.
  • Gottron's sign. Confluent macular erythema with scale.
    Gottron's sign. Confluent macular erythema with scale.
  • Gottron's papules showing secondary atrophy and telangiectasia. Prominent periungual erythema.
    Gottron's papules showing secondary atrophy and telangiectasia. Prominent periungual erythema.
  • Heliotrope. Confluent macular erythema confined to the upper eyelid, with associated periorbital edema.
    Heliotrope. Confluent macular erythema confined to the upper eyelid, with associated periorbital edema.
  • Heliotrope. In patients who have darker skin types (type III - VI skin), heliotrope can be subtle and perceived as inactive or normal.
    Heliotrope. In patients who have darker skin types (type III - VI skin), heliotrope can be subtle and perceived as inactive or normal.
  • Heliotrope. Subtle erythema and minimal edema.
    Heliotrope. Subtle erythema and minimal edema.
  • Malar and facial erythema, perioral sparing.
    Malar and facial erythema, perioral sparing.
  • Malar and facial erythema. Facial edema and scale.
    Malar and facial erythema. Facial edema and scale.
  • Linear extensor erythema. Confluent erythema.
    Linear extensor erythema. Confluent erythema.
  • Linear extensor erythema, linear violaceous discrete and confluent macules, and erosions secondary to excoriation.
    Linear extensor erythema, linear violaceous discrete and confluent macules, and erosions secondary to excoriation.
  • Linear extensor erythema. Intense erythema with Gottron's sign over the knees.
    Linear extensor erythema. Intense erythema with Gottron's sign over the knees.
  • V-sign rash. Irregular patchy erythema with prominent telangiectasias.
    V-sign rash. Irregular patchy erythema with prominent telangiectasias.
  • V-sign rash. Confluent macular erythema sparing in the submental, sun protected area.
    V-sign rash. Confluent macular erythema sparing in the submental, sun protected area.

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current18:40, 15 March 2010Thumbnail for version as of 18:40, 15 March 2010768 × 310 (230 KB)Madhero88{{Information |Description={{en|1=Dermatomyositis, Heliotrope. In patients who have darker skin types (type III - VI skin), heliotrope can be subtle and perceived as inactive or normal, resulting in under-diagnosis in this presenti

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