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Question 1

Answer 1

Gottrons papules

Characteristic discrete red areas overlying the knuckles in a patient with dermatomyositis. They may be photosensitive and itchy.

Question 2

Answer 2

heliotrope rash (dermatomyositis)

Usually purplish colour. It may also be red in certain patients. This is commonly seen around the eyes, but may also be encountered on the upper chest or back.

Question 3

Crepetations in dermatomyositis ?

Answer 3

Fine
- Pulm fibrosis

Question 4

First line treatment for dermatomyositis

Answer 4

Steroids

Question 5

Name 5 symptoms / signs of dematomyositis other than ones given away by the name

Answer 5

Skin rash
Muscle weakness

Muscle tenderness;
Weight loss;
Arthralgia;
Arthritis;
Dyspnea;
Arrhythmia;
Dysphagia;
Dysphonia;
Malignancy (in people >60);
GI ulcers and infections in children;
Tiptoe gait (children);
Joint contractures;
Subcutaneous calcifications

Question 6

Diagnostic test for dematomyositis

Answer 6

Anti-mi-2
(only found in 30%)

Question 7

Treatment of dematomyositis

Answer 7

Steroids

azathioprine / cyclosporin if not responding

Avoiding sun exposure;
Topical steroids;
Immunomodulatory medications;
Methotrexate;
Physical therapy prevents atrophy.