Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.

Dermatomyositis: The hands can offer a clue in making the diagnosis for dermatomyositis: joint-focused erythematous to violaceous to even hyperpigmented flat-topped papules and plaques; perionychial erythema, edema, and dilated capillary loops at the nail fold along with ragged cuticles; digital ulcerations and calcinosis cutis; and finally a nondescript keratoderma.

Erythematous patches can be present on the face, chest, and hands which can appear red to a more violaceous color. Notice the classic feature of the heliotrope rash around the eyes that has a deeper red and edematous appearance in darker skin tones.

Notice how the “dusky reddish” rash presents in the spectrum of skin tones.

Log into your JDD account to access high resolution images and request permissions.