PMC6701415_01
Hyperkeratosis on the lateral surfaces of the fingers.
CRIRH2019-5453717.001.jpg
PMC6701415_01_CRIRH2019-5453717.001.jpg
fig1
Nonetheless, skin peeling on distal phalanges on both hands has emerged 15 days before his visit to the hospital, with no apparent trigger (Figure 1).
High-resolution computed tomography. (a) Bilateral pulmonary posterior basal sections showing a reticular pattern characterized by septal fibrosis and traction bronchiectasis. (b) At the carinal bifurcation region, a micronodular image is visible along with multiple subpleural ground-glass opacification zones. (c) Coronal plane evidence of fibrosis located in both lung bases.
CRIRH2019-5453717.002.jpg
PMC6701415_01_CRIRH2019-5453717.002.jpg
fig2
After 48 hours of showing a poor response to the antibiotic treatment, the staff decided to perform a high-resolution computed tomography, reporting a matching pattern of a nonspecific interstitial pneumonia (NSIP) (Figure 2).