Inverse Gottron's papules: an unusual cutaneous manifestation of juvenile dermatomyositis.
Dermatomyositis is an autoimmune inflammatory myopathy characterized by unique cutaneous features. Gottron's papules are pathognomonic, lichenoid papules that can be found overlying the joints of the dorsal hand. Papules on the palms of the hand are less commonly seen, especially in the pediatric age group. Recognition of these inverse Gottron's papules as a sign of dermatomyositis is important as they may be the only cutaneous feature and may be a clue of underlying interstitial lung disease.
Department of Dermatology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. squinter@mcw.edu
Suzanne D
SD
Quinter
Yvonne E
YE
Chiu
Valerie B
VB
Lyon
Kristen E
KE
Holland
Sun Young
SY
Ruggeri
Beth A
BA
Drolet
D000305:Adrenal Cortex Hormones; D000730:Androstadienes / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003882:Dermatomyositis / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D000068298:Fluticasone; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D017563:Lung Diseases, Interstitial / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D009173:Mycophenolic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000730:Androstadienes; D016756:Immunoglobulins, Intravenous; D007166:Immunosuppressive Agents; D000068298:Fluticasone; D009173:Mycophenolic Acid; D011241:Prednisone; D008727:Methotrexate