PMC10328180_01
(a, b) Multiple, erythematous, non-blanchable macules to plaques along with
petechiae and purpura present over bilateral extremities; more over shin,
ankles, and dorsum of feet.
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General physical examination showed multiple, erythematous, non-blanchable macules to plaques along with petechiae and purpura present over bilateral extremities; more over shin, ankles, and dorsum of feet. (Figure 1) There was swelling, tenderness over the joints, and range of motion was painfully restricted.
PMC10328180_02
PMC10328180_03
Histopathological examination showed numerous viral cytopathic effects in
mesenchymal cells consisting of large cells with nuclear and cytoplasmic
inclusion that was consistent with CMV infection.
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Histopathological examination of colonoscopy-guided biopsied tissue from ulcer bed showed numerous viral cytopathic effects in mesenchymal cells consisting of large cells with nuclear and cytoplasmic inclusion that was consistent with CMV infection. (Figure 3) Until now, we had suspected HSP-related ulcer; but this was a surprise; retrospectively reviewing patient was not immunocompromised as such; but during covid and HSP, he might have got CMV.
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