Dermatomyositis
<p>The heliotrope is a plant of the genus Heliotropium. This flower has small fragrant purplish blooms. The heliotrope color ranges from a brilliant violet to a deep reddish purple. This color is seen in the periorbital area of patients with dermatomyositis.
 
This child's hand shows the skin changes of dermatomyositis. Erythematous flat papules may appear over metacarpophalangeal and proximal interphalangeal joints. The lesions are symmetric and overlie the small joints of the hand. A diffuse puffiness of the hand is present. Note the periungal erythema over the index finger.</p>