Scleroderma Support Group
Scleroderma is a rare, chronic disease characterized by excessive deposits of collagen. Scleroderma affects the skin, and in more serious cases it can affect the blood vessels and internal organs. The most evident symptom is the hardening of the skin and associated scarring.
DM symptoms are as follows: Red face, red shawl type rash around neck, gottron's papules ON the knuckles which are red. (Papules above the knuckles is more lupus than DM). Severe symmetrical muscle weakness in the arms & legs. High creatine kinase score that is above normal. Elevated liver enzymes.
DM sometimes will begin gradually for some people with just skin issues. The symmetrical muscle weakness is necessary for a DM diagnosis, unless the rashes are very severe.
DM is a connective tissue disease too. If the palms of your hands are red then that is liver disease.
The rheumatologist will run a complete metabolic panel blood test. If you do have an above normal CPK (creatine kinase) score then it could be dermatomyositis. Your rheumy would refer you to a neurologist for a muscle biopsy if DM is suspected. DO NOT TAKE prednisone or any disease modifying anti-rheumatic drugs until AFTER the muscle biopsy if DM is suspected. Starting medications before a full DM diagnosis will mess up the muscle biopsy results.
This website has a dermatomyositis group so please feel free to join us if you suspect DM.
Do look up pictures for "gottron's papules" on the hands on google to see if your hands look the same. Do look up Dermatomyositis face rash and shawl sign on google pictures to see if you match too.
Keep us posted. Best Wishes.