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
Read more at: https://www.cmaj.ca/content/189/44/e1365