PMC4414853_01
Unusual clinical findings of AOSD in skin and hands. A photography of dorsal and palms aspect of hands shows marked angioedema (a). The urticarial eruption is evident in the abdominal photography and shows the red and urticated plaques (black arrows) (b).
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Fig1
Examination revealed angioneurotic edema detected on soles, palms and tongue (Figure 1a) and widespread red, urticated plaques in a symmetrical distribution affecting the arms, dorsal hands, upper and lower chest and back (Figure 1b).
Unusual Paraclinical findings of AOSD in lung. A chest radiograph shows a patchy right lobe consolidation in the lower lung zone (a). CT image shows extensive areas of airspace consolidation due to alveolar hemorrhage in right lung. The bilateral pleural effusions are also notable (b).
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Fig2
A chest x-ray film showed a patchy right lower lobe infiltrate (Figure 2a) and computed tomography showed unilateral consolidation and pleural effusion (Figure 2b).
Abdominal skin biopsy with haematoxylin-eosin-stained. Perivascular and interstitial infiltrate composed mainly of neutrophils on upper and middle dermis with original magnification x 20 (a). Shows the same specimen in more detail with original magnification x 100 (b).
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Fig3
These features were consistent with neutrophilic urticaria (Figure 3).