Top Clinical Insights: Clinical Pearls From My Career
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Clinical Practice
- In dermatomyositis, the heliotrope rash often involves the sides of the nasal bridge.
- The rash also includes the nasolabial folds and sometimes periorbital edema.
- Redness of the proximal nail fold and hypertrophic cuticles should narrow differential diagnoses to either dermatomyositis or systemic sclerosis.
- With regards to hidradenitis management, phrases such as "I wish things were different" "I hope we can achieve good control" and "I can see you are suffering" coupled with having different-sized gowns for the visit all can increase comfort for the patient and build provider/patient trust.