PMC7838494_01
Physical examination: abdominal distension and non-pruritic erythematous plaques on the abdominal wall (A), pubis and proximal segments of both lower limbs (B).
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F1
Physical examination revealed non-pruritic erythematous plaques on the abdomen, pubis and proximal segments of both lower limbs (Figure 1).
Abdominal CT: ascites (A), bilateral pleural effusion (B), and lumbar subcutaneous edema (A).
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F2
It showed ascites, bilateral pleural effusion, lumbar subcutaneous edema and right lower lobe atelectasis with normal cardiac size (Figure 2).
(A) Elongated and tortuous (corkscrew) foveolar glands, with edematous lamina propia (H-E x200). (B) Cystic and dilated glands, with loss of parietal cells (H-E x100). (C,D) The study for H. pilory and CMV was negative in our patient. (3. Warthin-Starry x100, 4. CMV x100).
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F3
CMV were negative (Figure 3). CMV serology was also negative.
Timeline in days of clinical symptoms, laboratory findings, procedures and treatment of PP and MD.
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F4
A summary of his clinical course is showed in Figure 4.