PMC5998289_01
Petechial rash found in the distal third of the legs and the feet.
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Physical examination was significant for tongue edema, right mandibular lymph node enlargement, a petechial rash on legs and buccal mucosa (Figures 1 and 2) and ridged nails (Figure 3).
Petechial rash on buccal mucosa.
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Physical examination was significant for tongue edema, right mandibular lymph node enlargement, a petechial rash on legs and buccal mucosa (Figures 1 and 2) and ridged nails (Figure 3).
Demonstrating nail ridging.
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Physical examination was significant for tongue edema, right mandibular lymph node enlargement, a petechial rash on legs and buccal mucosa (Figures 1 and 2) and ridged nails (Figure 3).
EKG showing ST segment elevations in leads II, III, and aVF.
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ST segment elevation in leads II, III, and aVF (Figure 4) and troponin 2.04 ng/mL. She was diagnosed as having acute ST segment elevation myocardial infarction.