PMC8337161_01
Clinical symptoms in our patient. (a) Coated tongue. (b) Bilateral ocular redness (uveitis). (c) Periungual desquamation.
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Moreover, cracked lips, a coated tongue, and pharyngitis (Figure 1), associated to nonpitting edema of the right foot and ankles were identified.
The timeline of the clinical case.
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Remarkably, periungual desquamation appeared few days after his admission (see timeline in Figure 2).
CT scan images showing (a) inflammation of the small bowel, air-fluid levels, reactional mesenteric lymphadenopathy, and (b), (c) right-sided pleurisy with bilateral pulmonary consolidation.
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The radiological investigations were performed with a cerebral, thoracic, and abdominopelvic computed tomography (CTAP CT) scan; the results showed inflammation of the small bowel, air-fluid levels, reactional mesenteric lymphadenopathy, and a right-sided pleurisy with bilateral pulmonary consolidation (Figure 3).
Echocardiographic images showing (a) mitral regurgitation, (b) low left ventricular ejection fraction at 43%, (c) pericardial effusion, and (d) 4 mm coronary dilatation (Z score +4).
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