MRCP is well establised as an entry exam for advanced specialist training in many countries including Malaysia. It consists of 3 paper i.e. Part1, Part2(written tests) and PACES.
PACES in full means Practical Assessment of Clinical Examination Skills. It is the third part and the candidate is assessed by fellows of RCP.
I passed my PACES in 2005. I am glad that many seniors had guided me throughout my preparation for PACES and I wish to share my experiences with PACES candidates via this blog.
This pateint has poikiloderm,and halitope rash obn the face and gottron rash on the had with periungua capilaary dilation.This is Dermatomyositis .My differntial will be SLE
thers helitrope,purple color rash over the eye lid and extending to malar area not sparing nasolabial fold.with flat top violecious erythema over the knukle sparing the phalanges and prominant nail fold telangectasia.condition is dermatomyositis the cause of underling malignancy id like to chek for abdomen and breast.id like to chek for myopathy
This pateint has poikiloderm,and halitope rash obn the face and gottron rash on the had with periungua capilaary dilation.This is Dermatomyositis .My differntial will be SLE
ReplyDeleteMay look like heliotrope & gottron papules. SLE is a good thought. Any other DD?
ReplyDeletecute doc: Other DD systemic sclerosis but not SLE as skin rash involve nasolabial fold
ReplyDeleteSo, what do you get when features of SLE+systemic sclerosis+dermatomyositis?
ReplyDeleteAny idea?
cute doc: connective tissue disease
ReplyDeleteMixed connective tissue disease
ReplyDeleteshould think of 3 DD when you encounter facial rash possibly dt connective tissue ds
ReplyDelete1. SLE
2. Dermatomyositis
3. Mixed CT disease
Sarcoidosis with Lupus pernio (chilblain lupus) would also be one of the differential diagnoses.
ReplyDeletethers helitrope,purple color rash over the eye lid and extending to malar area not sparing nasolabial fold.with flat top violecious erythema over the knukle sparing the phalanges and prominant nail fold telangectasia.condition is dermatomyositis the cause of underling malignancy id like to chek for abdomen and breast.id like to chek for myopathy
ReplyDeletedermatomyositis
ReplyDeletedm
ReplyDeleteface erythema, goutorrn' nodule in the hand of dermatomyositis
ReplyDelete