![]() Share on Pinterest Dermatomyositis pain may be improved with chiropractic therapies or massage. Nerve conduction and EMG (electromyograms): These can also show early signs of muscle weakness, but they involve placing needles in the muscles, which can be painful.These tests can show signs of muscle inflammation, even when a person has not yet experienced muscle weakness. Imaging tests: Such as magnetic resonance imaging ( MRI) of the muscles.A biopsy removes a small sample of tissue, which is then stained and examined under a microscope. Biopsy: A biopsy of the rash, or of other irritated or inflamed areas of the skin.Blood tests: These can detect enzymes and autoantibodies associated with dermatomyositis and other muscle or neurological disorders. ![]() Other disorders that may cause a rash on the eye include lupus, HIV, and an inflammatory skin condition called lichen planus.ĭiagnosing dermatomyositis can be difficult, so it is important to work with a dermatologist. Treatment may begin by ruling out other conditions, such as pink eye, an allergic reaction, or an injury to the eyelid. If an eyelid rash occurs along with other symptoms of dermatomyositis, ask a doctor for a referral to a specialist doctor, usually a rheumatologist. If the rash does not disappear, however, see a doctor. If the eyelid is red or inflamed, but not painful, it is fine to wait for 1 to 2 days. People who develop a painful or itchy rash on the eyes should see a doctor promptly, especially if the eyelids are swollen. Moreover, a rash on or around the eyes can pose a threat to vision, so it is vital to get an accurate diagnosis. It is not possible to self-diagnose dermatomyositis based solely on the presence of a rash. The presence of specific antibodies in the blood may make it more likely that a person will develop interstitial lung disease. Some people with interstitial lung disease develop lung stiffness and weakness. This disease damages lung tissue and can make it difficult to breathe. People with dermatomyositis may be more vulnerable to a lung disorder called interstitial lung disease. Muscle pain, though not all people with dermatomyositis develop muscle pain.A hoarse voice that may accompany swallowing problems.Difficulty swallowing, including sensations of choking or a lump in the throat.Hard lumps under the skin, which are due to calcium deposits under the skin.Swelling and redness around the fingernails.Sudden muscle weaknesses in the hips, back, or shoulders.Some people initially notice difficulty getting up from a seated position, or have trouble combing their hair. Progressively worsening muscle weakness, particularly in the upper arms and upper thighs.In addition to skin lesions, flaky spots on the elbows and knees, and a rash on the knuckles, other signs of dermatomyositis include: In most people with dermatomyositis, a heliotrope rash appears before the muscular symptoms. It may burn or itch, or it may cause no symptoms other than reddened skin. The heliotrope rash may be uneven and bumpy and often looks dry and irritated. ![]() Share on Pinterest A heliotrope rash is the first noticeable symptom of dermatomyositis.
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