NEJM: Mechanics hands - 37 yoM w/ 14 mos of painful, thickened, cracked skin on his fingertips. Had LG fevers, weakness and labs showed CK 20K, ANA/RF neg, but +Jo-1 & +SSA, Chest CT shows ILD. Whats the Dx? how do you treat? read here... https://t.co/bkCI3SUXNh