What is Heliotrope Rash?
Heliotrope rash is the primary symptom ofDermatomyositis , which is an idiopathic inflammatory myositis . Patients hurt from dermatomyositis have persistent ignition of the skin and muscle . There is development of heliotrope skin rash on the upper eyelids along with inflammation . Heliotrope rash is often consociate with violaceous erythema of the upper palpebra along with telangiectasia and edema which come on into heliotrope blizzard . ‘ Heliotrope ’ is a condition which is derived from the heliotrope flower , because in this rash , the color of the hide turns to reddish blue , which is the colour of the heliotrope prime .
Associated Signs & Symptoms of Heliotrope Rash
Heliotrope rash pass off during the initial phase of the idiopathic inflammatory myositis , in particular dermatomyositis . Violaceous discoloration and periorbital edema is the elemental feature of Heliotrope skin rash . Patient go through itchiness of the skin along with ragged shield . There is also development of muscle helplessness with Heliotrope blizzard .
extra symptoms of Heliotrope rash include :
Shawl Sign : The main feature of shawl mansion is flat , reddish - purple discoloration , which exsert over a spacious sphere of the tegument admit shoulders , neck , weapon etc . photo to the sun ( UV ray ) worsens the condition of Heliotrope rash .
Gottron ’s augury : This grow on the elbow , knee and fingers . Patient has a red and flat rash on the posterior side of the knee , digit and cubital joint .
Gottron ’s papule : This is exchangeable to Gottron ’s mark , but or else of a blizzard which is flat , there is developing of scaly bumps on the joints of the fingers .
V - Sign : This is similar to shawl star sign ; however , it develops on the chest with the rash shape resembling a v - neck sweater .
Mechanic ’s hand : The patient ’s hands appear dirty , due to hide of the mitt becoming crack up , along with brickle and rough nails which have irregular tip and unpredictable side of the nails . This makes the appearance of the hands like a manual mechanics ’ hands .
Reddish Nail Bed : The nail bed of the finger becomes reddish from inflammation of the origin vessels surrounding it .
Causes of Heliotrope Rash
Dermatomyositis ( DM ) is a clinical condition where there is appearance of rash on the skin with inflaming of the haggard muscle .
Juvenile Dermatomyositis ( JDM ) is similar to dermatomyositis , but is found in tike , as the name itself suggests .
Amyopathic Dermatomyositis ( ADM ) is a condition , which necessitate only cutaneous tissue . The muscles are not dissemble and the affected role has different type of skin rash .
Some of the potential causal agent of the above mentioned conditions are : Skin malignancy , hereditary abnormalcy , exposure to natural infectious agents / toxic chemicals , side effect of certain drug , such as quinidine , Cuprimine , hydroxyurea , phenylbutazone and statin .
Diagnosis of Heliotrope Rash
break below are the probe , which are done to name and confirm the underlying suit of Heliotrope Rash :
The below tests are done to value the severity of the condition and let in :
Treatment of Heliotrope Rash
Treatment depends on the diagnosis of the fundamental reason of Heliotrope Rash and consists of :
