PMC5903929_01
1a Loss of beard hair and eyebrows. 1b Loss of scalp hair
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F1
It started by the falling of the beard, followed by scalp hair (figure 1) then progressed to loss of pubic hair and the extremities. Finally, it was followed by the loss of eyebrows (figure 1).
a,b. Dystrophic nail changes; pitting, onychorrhxis and leukonychia
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F2
He also reported nail changes in the form of discoloration and nail dystrophy affecting fingers and toenails (figure 2).
3A. Backwash ileitis with grade II villous atrophy: Ileal biopsy with surface erosions, villi showing broadening and shortening. The glands showing regenerative changes, the lamina propria infiltrated by mild to moderate chronic inflammatory cells. 3B. Rectal biopsy: mucosal damage, glandular distortion, missing crypts and cryptitis. Lamina propria infiltrated by moderate chronic inflammatory cells. No evident dysplastic or neoplastic changes.
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F3
The histopathological examination confirmed a picture of UC with mild to moderate activity (figure 3).