A Cutaneous Lesion Associated with Myositis
Authors: NEIL I. STAHL
Journal: Annals of Internal Medicine (1979)

Brief Reports1 October 1979A Cutaneous Lesion Associated with MyositisNEIL I. STAHL, M.D., JOHN H. KLIPPEL, M.D., JOHN L. DECKER, M.D.NEIL I. STAHL, M.D., JOHN H. KLIPPEL, M.D., JOHN L. DECKER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-91-4-577 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA distinctive cutaneous lesion was seen on the hands of eight patients with connective tissue diseases; the lesion appears to be associated with an inflammatory myopathy. A nonpruritic, hyperkeratotic eruption was accompanied by scaling, fissuring, and hyperpigmentation, giving the appearance of the calloused hands of a manual laborer (Figure 1,left and center). This rash was typically noted in a bilateral and symmetrical distribution along the ulnar aspect of the thumb and the radial aspect of the fingers, most prominently on the index and middle fingers, with occasional extension to the palmar surfaces. Only one patient was employed as a...References1. CLEMENTSFURSTCAMPION PDD. Muscle disease in progressive systemic sclerosis—diagnostic and therapeutic considerations. Arthritis Rheum. 1978;21:62-71. CrossrefMedlineGoogle Scholar2. BOHANPETERBOWMANPEARSON AJRC. A computer-assisted analysis of 153 patients with polymyositis and dermatomyositis. Medicine. 1977;56:255-86. CrossrefMedlineGoogle Scholar3. DUBOIS E. Lupus Erythematosus. Los Angeles: University of Southern California Press; 1974:262-5, 401-2. Google Scholar4. SHARPIRWINTANGOULDHOLMAN GWERH. Mixed connective tissue disease—an apparently distinct rheumatic disease syndrome associated with a specific antibody to an extractable nuclear antigen (ENA). Am J Med. 1972;52:148-59. 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Author, Article, and Disclosure InformationAffiliations: National Institute of Arthritis, Metabolism and Digestive Diseases National Institutes of Health Bethesda, Maryland PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDermatomyositis and Other Autoimmune DisordersClinical practice guidance for juvenile dermatomyositis (JDM) 2018-UpdatePatients with Interstitial Lung Disease Secondary to Autoimmune Diseases: How to Recognize Them?Mechanic hands: clinical and capillaroscopy manifestations of patients with connective tissue diseases presented with and without mechanic handsThe color of skin: red diseases of the skin, nails, and mucosaThe interface reaction pattern in the skin: an integrated review of clinical and pathological featuresMechanics hands in patients with antisynthetase syndrome: 25 casesDermatomyositis: Current conceptsRe-examining mechanic's hands as a characteristic skin finding in dermatomyositisAnti-melanoma differentiation–associated gene 5 (MDA5) dermatomyositis: A concise review with an emphasis on distinctive clinical featuresDermatomyositis und andere AutoimmunerkrankungenDermatomyositis und andere AutoimmunerkrankungenLesson of the month 2: Dry skin, yellow nails and breathlessness"Hiker's feet": a novel cutaneous finding in the inflammatory myopathiesClinical follow-up predictors of disease pattern change in anti-Jo1 positive anti-synthetase syndrome: Results from a multicenter, international and retrospective studyCutaneous Manifestations in Dermatomyositis: Key Clinical and Serological Features—a Comprehensive ReviewClinicopathological analysis of mechanic's hand associated with dermatomyositisManos y pies de mecánico: un signo clínico de enfermedad sistémicaPseudocheckerboard pattern: an interesting histopathological finding in mechanic's handsSkin in rheumatic diseaseMechanic's hands revisited: is this sign still useful for diagnosis in patients with lung involvement of collagen vascular diseases?Lesiones hiperqueratósicas en las manos de una paciente con miopatía. 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