Gingival telangiectases may be significant in identifying subsets of dermatomyositis. 1 Capillary abnormalities in the gingiva have been previously described in five patients with dermatomyositis 2 , the mechanism of which is speculated to be similar to that of periungual erythema. 1 , 2 , 3 There is also one previous report of a patient with multiple oral lesions, including gingivitis, as the initial symptom of dermatomyositis. 3 Thus, gingival telangiectases may represent the sign of dermatomyositis.
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