PMC3317255_01
Ecchymosis, perifollicular hemorrhage, and corkscrew hairs in the right knee.
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f1-cln_67p405
In addition to atrophic musculature in both thighs and lower legs, extensive bilateral subcutaneous edema with the presence of ecchymosis, corkscrew hairs, and perifollicular hemorrhage, mainly around the knees, were noted (Figure 1).
Scurvy: red cell extravasations around vessels in the upper dermis, dermal and epidermal atrophy and parakeratosis, and mild chronic perivascular inflammation.
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PMC3317255_01_cln-67-04-405-g002.jpg
f2-cln_67p405
On the dermis, there were several hair follicles plugged with keratin, hemorrhage, and dermal atrophy, which are suggestive of scurvy (Figure 2).