PMC8214487_01
Very prominent skin rashes affecting the lateral parts of the body in both sides.
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A 14-year-old male with no chronic medical conditions presented in the Emergency Department with a five-day history of fever, fatigue, bilateral conjunctivitis, cervical lymphadenopathy, hand swelling, and a skin rash on his lateral parts of the body, groin, and both hands (Figures 1 and 2).
Skin rashes in the distal parts of the upper extremities and palmar edema.
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A 14-year-old male with no chronic medical conditions presented in the Emergency Department with a five-day history of fever, fatigue, bilateral conjunctivitis, cervical lymphadenopathy, hand swelling, and a skin rash on his lateral parts of the body, groin, and both hands (Figures 1 and 2).
Axial MRI images (a) diffusion weighted and (b) apparent diffusion coefficient (ADC), showing acute brain ischemia in the territory of the medial cerebral artery.
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Angiography) were conducted, showing brain ischemia on the terminal branches of the left medial cerebral artery (Figure 3). As a result, the patient was admitted in our Clinic of Neurology for further evaluation and treatment.
Brian MRI images of the patient, two weeks after neurological symptom onset. Axial (a) fluid-attenuated inversion recovery (FLAIR) MRI scans and (b) diffusion-weighted images (DWI) showing a hyperintense signal and edema of the caudate nucleus head, putamen, and parts of the external capsule and insula on the left side.
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Also, ischemic changes on brain imaging were decreased (Figure 4).