PMC3546444_01
Perianal region examination showing large bilateral infected ulcerations followed by pus.
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The perianal region examination showed large bilateral infected ulcerations followed by pus (Figure 1).
Thoracic X-ray revealed bilateral nonhomogenous infiltrations and cavitary lesions in the right lung.
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The abdominal X-ray revealed bilateral nonhomogenous infiltrations and cavitary lesions in the right lung (Figure 2).
The contrast-enhanced computed tomography scan of the abdominal and pelvic region showed multiple mesenteric and retroperitoneal necrotic adenopathies.
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A contrast-enhanced computed tomography scan of the abdominal and pelvic region showed multiple mesenteric and retroperitoneal necrotic adenopathies (Figure 3).
HES x 300, epithelioid granulomas multinucleated giant cells (G), with caseous necrosis (N).
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Histological examination of all biopsies showed epithelioid granulomas and Langhans' type multinucleated giant cells, with the presence of caseous necrosis (Figure 4).
Perianal region examination after six months from beginning of treatement showing complete disappearing of the ulcerations with only a bilateral mild granular region.
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After six months of treatment, the lesion had disappeared, and only a bilateral mild granular region remained (Figure 5).