Image Challenge – Aug 1st

Credit to – no peeking šŸ™‚

Question: What is the name of this physical exam finding?

Answer: The correct answer is mechanic’s hands! This is hyperkeratosis over the palms predominantly in the distal and lateral aspects of the phalanges and 90% of patient’s will have this on the soles too – called “hiker’s feet.” This is seen in anti-synthetase syndrome, an inflammatory muscle disease characterized by mechanic’s hands, ILD, myositis, arthralgias, fever, and Raynaud’s

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