causes of heliotrope rash
1 The disease can cause breathlessness and a dry cough. 2  Heliotrope rash can also result in inflammation of the cardiac muscles or myocarditis, and other cardiovascular conditions. 3  A small percentage of the patients may also experience cardiac arrhythmias and congestive failure of the heart.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.