Gottron’s Papules

Gottron’s papules are violaceous and scaly papules over the dorsum of the metacarpophalangeal and interphalangeal joints.
 

Patient 1:

This is a middle-aged man who presented with progressive weakness and was found to have dermatomyositis.

This patient also has a heliotrope rash and shawl sign.

Patient 2:

This is a middle-aged man who presented with progressive weakness and was found to have dermatomyositis.