Skin Signs of Rheumatic Disease - mghcme

Skin Signs of Rheumatic Disease

Gideon P. Smith MD PhD MPH Vice Chair for Clinical Affairs Director of Rheumatology-Dermatology Program Director of Connective Tissue Diseases Fellowship Associate Director of Clinical Trials Department of Dermatology Massachusetts General Hospital

Harvard University

Disclosures

"Neither I nor my spouse/partner has a relevant financial relationship with a

commercial interest to disclose."

Connective Tissue Diseases Clinic

?Schnitzlers ?Eosinophilic Fasciitis ?Silicone granulomas

?AML arthritis with granulomatous papules ?Follicular mucinosis in

JRA post-infliximab ?Calcinosis, small and

exophytic ?NSF, Morphea ?EED, PAN, DLE

?Interstitial Granulomatous Dermatitis with

Arthritis

?Cutaneous Crohn's with arthritis

?Acral Anetoderma Lupus

?TNF-alpha induced sarcoid

?Multicentric Reticulo histiocytosis

?Chondrosarcoma induced

Dermatomyositis

?Scleroderma

?Lyme arthritis with papular mucinosis

?Celiac

?Granulomatous Mastitis

?IgG4 Disease

? Primary skin disease recalcitrant to therapy

? Hair loss ? Nail dystrophy ? Photosensitivity ? Cosmetic concerns ? post-

inflammatory pigmentation, scarring, volume loss, premature photo-aging ? Erythromelalgia ? Dry Eyes ? Dry Mouth ? Oral Ulcerations ? Burning Mouth Syndrome ? Urticaria ? Itch ? Raynaud's ? Digital Ulceration ? Calcinosis cutis

Common Consults

Todays Agenda

Clinical Presentations Rashes

(Cutaneous Lupus vs Dermatomyositis vs ?) Hard Skin

(Scleroderma vs Other sclerosing disorders)

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