PMC10180794_01
Wrist drop
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F1
The patient moreover complained of numbness of left upper limbs 45 days ago taken after by right upper limbs 40 days ago, beginning over 5th finger and advancing to include other fingers and medial aspect of palm and distal lower arm coming about in wrist drop as appeared in Figure 1.
Cutaneous ulcer in the right lower limb
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F2
On examination, the patient was hypertensive, and skin injuries over both upper and lower limbs and depigmented ulcerative macular regions were displayed as appeared in Figure 2.
CT angiogram showing multiple intraparenchymal renal artery aneurysms. CT: Computed tomography
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F3
The nerve conduction study was suggestive of sensorimotor axonal polyneuropathy. The finding of CECT chest and abdomen with CT angiogram abdomen was steady with medium vessel vasculitis [Figures 3 and 4].
CT angiogram showing a beaded appearance of hepatic arteries. CT: Computed tomography
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F4
The nerve conduction study was suggestive of sensorimotor axonal polyneuropathy. The finding of CECT chest and abdomen with CT angiogram abdomen was steady with medium vessel vasculitis [Figures 3 and 4].