PMC5977048_01
Bilateral atrophied hands with hypopigmented and hypoesthesic lesions in interdigital spaces.
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fig1
Physical examination revealed anesthetic distal phalangeal atrophy associated with severe deformity of the hands, hypochromic, anesthetic macular lesions (Figure 1), atrophy of the metatarsals and phalanges with severe deformity of the feet, and bilateral plantar perforations (Figure 2).
Bilateral neuropathic plantar ulcer.
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fig2
Physical examination revealed anesthetic distal phalangeal atrophy associated with severe deformity of the hands, hypochromic, anesthetic macular lesions (Figure 1), atrophy of the metatarsals and phalanges with severe deformity of the feet, and bilateral plantar perforations (Figure 2).
Bilateral osteoporosis.
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fig3
The radiographs of the hands and feet showed osteoporosis (Figure 3).
PMC5977048_02
Reticulonodular infiltrates at the apex of the right lungs associated with bilateral hilar lymphadenopathy.
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fig4
The chest X-ray showed reticulonodular infiltrates at the right lung apex and bilateral hilar lymphadenopathy (Figure 4).