PMC9530593_01
PMC9530593_02
Diffuse erythematous hyperkeratotic scaling and fissuring in the (A) palm and (B) sole (B) of case 2.
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PMC9530593_02_fped-10-953033-g001.jpg
F1
On examination, she had thickened and keratotic skin over palms and soles, dental caries, and hepatomegaly (Figure 1).
(A-C) Computed tomography of case 2 showing a hypoattenuating focal lesion with thick/shaggy walls with perilesional edema suggestive of abscess in the liver, arrow marks. (D) Ultrasound images of case 2 showing resolution of abscess following initiation of corticosteroids (after 6 weeks of initiation of therapy).
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PMC9530593_02_fped-10-953033-g002.jpg
F2
Before presenting to us, she had undergone computed tomography (CT) of the abdomen that showed a heterogeneous area measuring 3.3 cm x 2.6 cm x 2.3 cm in size seen in segment III of the liver (Figures 2A-C). The follow-up USG at 6 weeks showed 1 x 1 cm residual liver abscess (Figure 2D).