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11-15-2011

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bebix

USMLE Forums Master

Steps History: 1+C K+C S+3 Posts: 1,380 Threads: 195 Thanked 2,937 Times in 871 Posts Reputation: 2947

The hand in different diseases

Rheumatoid Arthritis

Osteoarthritis

Dermatomyositis - Gottron's papules

Erythematous rashes on the hand in dermatomyositis and systemic lupus erythematosus. A, Note the changes on the knuckles and dorsum of the hand in dermatomyositis (Gottron's sign). B, Rash is absent on the knuckles but present on the phalanges in lupus.

Scleroderma

Palmar Erythema

Gout

Raynaud's phenomenon

Psoriasis

The Following 8 Users Say Thank You to bebix For This Useful Post: AlgHuh (03-20-2012), docinfidel (09-15-2012), drshaziamirza (09-04-2012), geetha (02-29-2012), hiratamkeen (12-05-2011), MANIAKOS (11-16-2011), Michaels (05-14-2012), mle.com (07-08-2012)

11-16-2011

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MANIAKOS

USMLE Forums Addict

Are Gottron s papules permanent sign or temporary?

11-16-2011

#3 Steps History: 1+C K+C S+3 Posts: 1,380 Threads: 195 Thanked 2,937 Times in 871 Posts Reputation: 2947

bebix

USMLE Forums Master

Quote:

Originally Posted by MANIAKOS Are Gottron s papules permanent sign or temporary? This is what I found: Gottrons papules. Gottrons papules, a pathognomonic sign of DM, are round, 0.2- to 1-cm, smooth, violaceous-to-red, flat-topped papules that occur over bony prominences, particularly the knuckles, along the sides of the fingers, and sometimes over the knees and elbows. There may be a slight scale and sometimes a thick psoriasiform scale. Telangiectasia may be present in the lesions. Lupus of the back of the hand usually spares the knuckles. Biopsy cannot distinguish the cutaneous lesions of DM from those of LE. Several lesions appear simultaneously any time during the course of the disease; they tend to remain fixed in position. Approximately 60% to 80% of DM patients have Gottrons papules sometime during the course of the disease. Clinical Dermatology, 5th ed.

The Following 3 Users Say Thank You to bebix For This Useful Post: hiratamkeen (12-05-2011), MANIAKOS (11-16-2011), mle.com (07-08-2012)

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