Violaceous hue and telangiectasias along the lid margin characterize the heliotrope of dermatomyositis.

Flat-topped violaceous papules, Gottron’s papules, are seen on the knuckles and proximal phalangeal joints.

Gottron’s papules are flat-topped papules that may occur along the lateral fingers. They are pathognomonic for dermatomyositis.

In this patient with dermatomyositis, a faint violaceous blush is seen along the extensor arms. The knuckles also have a characteristic violaceous hue.