 [ Symptoms ] Pain area - joints, Pain area - muscles, redness, loss of muscle, shawl sign (darkened skin on upper back and torso), dermatomyositis, mechanic's hands (dry thick skin on palms of hands), multiple-joint inflammation, darkening of the skin, fatigue, calcium deposits in the skin, difficulty swallowing, muscle weakness, pneumonia from inhaling oral secretions, swelling, weight loss, puffy eyes [ Disease ] Dermatomyositis