<prompt> Heliotrope rash is seen in:DermatomyositisPolymyositisSclerodermaPityriasis roase  <response>: Ans. A. Dermatomyositis. Ref. Harrisons 18thFigure 54-3Proximal myopathy, heliotrope rash violaceous perior-bital rash over eyelids and the Gotrens papules over the knuckles indicate dermatomyositis. Periorbital violaceous erythema characterizes the classic heliotrope rash. Gottrons papules are pathognomonic for Dermatomyositis. Gottrons papules are inflammatory papules found over the dorsal interphalangeal joints and they become violaceous in colour and flattened before they atrophy to leave. 