case_images: PMC10783414_01
case_images: Abdominal distension and bronze skin colour.
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case_images: F1
case_images: On physical examination, he was conscious, weak, pale, bronze skin, with abdominal distension, and tachypnea (Fig. 1).
case_images: A bone marrow shows mediate cellularity, red blood cell chain hyperplasia with a relative delay of maturation, infiltration of hemosiderin granules into and out of macrophages.
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case_images: F2
case_images: Furthermore, hemosiderin granules were noted (Fig. 2).
case_images: Chest X-ray showed severe bilateral infiltrates and cardiomegaly.
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case_images: F3
case_images: Due to the tachypnea and the need for oxygen; the Chest X-ray (Fig. 3) showed severe bilateral infiltration which could indicate iron accumulation, Oxygen therapy continued throughout the period of hospitalization (45 d).
case_images: Computed tomography scan showed hepatomegaly and splenomegaly.
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case_images: F4
case_images: A full body computed tomography (CT) scan showed Alveolar densities surrounding the upper lobe of the right lung with parenchymal destruction, several dilated bronchi and bilateral mild pleural effusions, Hepatomegaly, and splenomegaly (Fig. 4).
case_images: MRI Of the Pituitary gland with IV contrast showed severe atrophy of the pituitary gland.
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case_images: F5