Dermatomyositis Flashcards
1
Q
Presentation
A
Symmetrical heliotrope rash
Flat-topped violaceous scaly papules and plaques over the knuckles, elbows and knees - Gottron’s papules
Dilated nail fold capillaries
Erythema and poikiloderma in a photosensitive distribution
Proximal muscle weakness and tenderness
2
Q
Associated malignancies
A
Resp, GI, breast, ovarian, prostate
3
Q
Multisystem disease
A
Arthritis
Dysphagia
ILD
4
Q
Investigations
A
CK
EMG
Muscle biopsy
5
Q
Treatment
A
General - education, PT
Avoid sun exposure, hydroxychloroquine
High dose steroids
