Dermatomyositis Polymyositis

DM also may include head and neck dermatologic manifestations that can have considerable diagnostic importance. Among these is the virtually pathognomonic heliotrope rash (Fig. 7). This lesion, which leads to edema and discoloration of the eyelids, takes its name from the deep purple flower of the heliotrope plant, although the lesion may vary in color from pink to red to brown. DM may also lead to an erythematous rash on many locations on the body, including the face and neck (Fig. 8). Nasal septal perforation has been

Dermatomyositis Heliotrope Rash
FIGURE 6 Scleroderma: telangiecta-sias. Source: American College of Rheumatology.
FIGURE 7 Dermatomyositis: heliotrope rash. Source: American College of Rheumatology.

reported in DM (23). Two case reports have been made of children with chondrodermatitis nodularis helicis and DM (24,25).

Inflammatory myositis in both DM and PM can prominently involve musculature in the head and neck area. About one-half of patients experience weakness of the neck flexors; ocular and facial muscles are virtually never involved. Weakness of the striated oropharyngeal muscles can result in dysphonia and difficulty swallowing. Dysphagia can also result from esophageal dysmotility or cricoarytenoid sphincter muscle hypertrophy leading to obstruction (26).

Was this article helpful?

0 0
Hearing Aids Inside Out

Hearing Aids Inside Out

Have you recently experienced hearing loss? Most probably you need hearing aids, but don't know much about them. To learn everything you need to know about hearing aids, read the eBook, Hearing Aids Inside Out. The book comprises 113 pages of excellent content utterly free of technical jargon, written in simple language, and in a flowing style that can easily be read and understood by all.

Get My Free Ebook


Post a comment