PMC8220250_01
A) right palm of hand demonstrating petechial rash B) Left foot with synovitis.
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Patient returned to the Emergency Department again the following day with further progression of petechial rash involving the palms of the hands and soles of the feet, see Fig. 1 (A), and new onset bilateral subconjunctival hemorrhages. A magnetic resonance image was completed of the left ankle, which showed severe synovitis with synovial enhancement of the peroneus longus and brevis, see Fig. 1 (B) and significant edema.