dermatologic manifestations of rheumatologic disease

Clinical manifestations

• systemic lupus erythematosus
  • malar rash
  • photosensitivity rash
  • discoid lupus
  • subacute cutaneous lupus erythematosus
  • oral mucocutaneous ulcerations
    • on tongue or hard palate
    • generally painless
  • alopecia
  • lupus panniculitis
• dermatomyositis
  • Grotton's papules on extensor surfaces of metacarpophangeal joints & proximal interphalangeal joints
  • macular erythema
    • shawl sign: rash involves posterior neck, upper back, & shoulders
    • V sign: rash involves anterior neck & chest
  • heliotrope rash (violaceous rash on upper eyelid)
  • dry, cracked fingers & hands
  • nailfold capillary changes
• scleroderma
  • skin thickening of face & skin distal to elbows & knees
    • diffuse disease involves skin proximal to elbows & knees
  • nailfold capillary changes
• vasculitis
  • purpura
  • cutaneous nodules
  • cutaneous ulcers
• Behcet syndrome
  • oral ulcerations
  • genital ulcerations
  • erythema nodosum
• sarcoidosis
  • erythema nodosum (including Lofgren's syndrome)
• psoriatic arthritis
  • psoriasis on extensor surfaces, umbilicus, gluteal fold,scalp & behind ears
  • pustular psoriasis on palm & soles
  • pitting of nails
  • onycholysis
• reactive arthritis including Reiter's syndrome
  • psoriaform rash on palms, soles, toes (keratoderma blenorrhagicum)
  • psoriaform rash on penis (circinate balanitis)
• adult-onset Still's disease (juvenile rheumatoid arthritis)
  • short-term, pink rash on trunk & proximal extremities
• rheumatic fever
  • erythema marginatum
• Lyme disease
  • erythema chronicum migrans
  • acrodermatitis atrophicans (Borrelia afzelii)

Additional terms

• rheumatologic disease
• skin disease (dermatologic disorder, dermatopathy, dermatosis)