Keywords: Hand sign; Dermatomyositis; Gottron; Inter-phalangeal joint; Swelling sign; Papule; Psoriatic arthritis; Art; History EN Hand sign Dermatomyositis Gottron Inter-phalangeal joint Swelling sign Papule Psoriatic arthritis Art History 1765 1766 2 07/18/23 20230901 NES 230901 Joachim Wtewael (1566 -1638) is celebrated as one of the master painters of the Netherlands, famed for his contribution to the artistic movements of Dutch and Northern Mannerism. Hand sign, Dermatomyositis, Gottron, Swelling sign, Inter-phalangeal joint, Psoriatic arthritis, Art, History, Papule The papules on the hand may be consistent with Gottron's papules on the right metacarpophalangeal and interphalangeal joints, distal left interphalangeal joints in view of their violaceous hue, and slight central depression [[1]].