A proposed criterion includes the presence of anti-aminoacyl-transfer RNA synthetases plus either unexplained ILD or PM/DM, or one of the major criteria and two minor criteria that include arthritis, Raynaud's phenomenon or mechanic's hand (2).
This rare disorder is on the spectrum of anti-inflammatory myopathies, and it presents with a constellation of symptoms including myopathy, non-erosive inflammatory arthritis, Raynaud's phenomenon, interstitial lung disease (ILS), and cutaneous manifestations, including "mechanic's hands." Our patient presented with rhabdomyolysis, a rare but serious complication of this disorder, but without evidence of ILS, which is usually seen in the AS spectrum, especially in conjunction with the anti-OJ antibody subtype.
Danaher's business activities encompass four reporting segments and comprise of seven strategic platforms: Medical Technologies (Life Sciences & Diagnostics and Dental), Professional Instrumentation (Environmental, Test & Measurement), Industrial Technologies (Motion, Product ID, Focused Niche Businesses) and Tools & Components (Mechanic's Hand
Made from 24-gauge steel, the red toolbox gift set contains some of Busted Knuckle Garage's best-selling items: the Magnetic Finger tool, Mechanic's Boil Over Hot Sauce, an oil can coin bank, a wall sign, a tube of Mechanic's Sun Block, a can/bottle cooler, Mechanic's Hand
Cleaner and Mechanic's Hand
The antisynthetase syndrome (AS) represents a subset of connective tissue disease (CTD), usually dermatomyositis and polymyositis, in which autoantibodies to specific aminoacyl-transfer RNA synthetases develop and are associated with clinical manifestations of myositis, Raynaud phenomenon, arthritis, fever, mechanic's hands, and interstitial lung disease (ILD).
The most common clinical features were mechanic's hands (n = 3; 60%) and Raynaud phenomenon (n = 2; 40%).
Every set of skilled mechanic's hands
came with a free brain, and we needed to tap that resource.
Recognition of "mechanic's hands
," periungual erythema, abnormal capillary microscopy, and inflammatory arthritis led to new diagnoses including antisynthetase syndrome, systemic sclerosis, rheumatoid arthritis-associated interstitial lung disease, mixed connective tissue disease, dermatomyositis.
not knowing the black seed in his lungs already flickered its tendrils like headlights on the freight easing far off toward Pittsburgh, D.C., anywere you want, he said, and now there is little to think of, thinking of him, mostly the mechanic's hands
at the big wheel, highbeams swelling his face, a voice that speaks of an edge a man needs to keep to when he's coming down, tires that talk back to us, a sound like a diesel braking, a compressor letting go at last, things I hear night after night when cars climb here and the river and the river hisses patiently as if it meant to warn those lights on its back won't last, are only the heart's need to be dazzled from the steadily roaring darkness.