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Facial Rash in Dermatomyositis. What Other Clues?

Facial Rash in Dermatomyositis. What Other Clues?

The shawl sign

This facial rash, known as the heliotrope rash, is one of several skin signs that are pathognomic of dermatomyositis. A violaceous discoloration of the eyelids is characteristic, and may be associated with a more extensive facial rash with a photosensitive distribution.

 


Which two of the following are also signs of dermatomyositis?
A. The shawl sign
B. Nail pitting
C. Gottron papules
D. Folliculitis
 

 

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