NEJM on X: "A 37-year-old man presented with a 14-month history of painful, thickened, and cracked skin on the fingertips of both hands. Laboratory testing showed that the creatine kinase level was
![Dry, flaky, cracked fingertips. It's localized to only these 3 fingers. Been like this for almost 3 months. I remember the first time they appeared, I got a burning sensation on my Dry, flaky, cracked fingertips. It's localized to only these 3 fingers. Been like this for almost 3 months. I remember the first time they appeared, I got a burning sensation on my](https://i.redd.it/jam7aljjqng41.jpg)
Dry, flaky, cracked fingertips. It's localized to only these 3 fingers. Been like this for almost 3 months. I remember the first time they appeared, I got a burning sensation on my
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