Some of the complications associated with heliotrope rash are discussed below: 1  Complications of muscle weakness: 2  When the esophagus experiences muscle weakness then patients may elicit dysphagia or swallowing difficulties. 3  This in turn can result in loss of weight and malnutrition.ome of the complications associated with heliotrope rash are discussed below: 1  Complications of muscle weakness: 2  When the esophagus experiences muscle weakness then patients may elicit dysphagia or swallowing difficulties. 3  This in turn can result in loss of weight and malnutrition.
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