PMC6038334_01
Chest contrast-enhanced computed tomography on hospital day 2 demonstrates wedge-sharped consolidation and ground-glass opacity in both lungs and emboli in both pulmonary arteries. There is a thrombus partially occluding the left popliteal vein.
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Furthermore, a thrombus was observed partially occluding the left popliteal vein (Fig. 1).
Hematoxylin and eosin stain of a biopsy specimen from the fingertip skin shows a marked perivascular eosinophilic infiltrate and an intravascular clot (x100 magnification).
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Histologic examination showed an intravascular clot and a perivascular eosinophilic infiltrate (Fig. 2).
Changes in absolute eosinophil count and D-dimer level over time in relation to the administration of steroids and anticoagulation therapy. mPSL methylprednisolone, PSL prednisolone.
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The patient was treated with methylprednisolone, 1 g/day for 3 days, followed by gradual tapering of prednisolone and with the low-molecular-weight heparin (LMWH) dalteparin, 4000 U/day (Fig. 3).