case_images: PMC6594285_01
case_images: MRI lower extremities showed multifocal abnormal bone marrow signal in the right femur, the left femoral neck, and the proximal epiphysis and metaphysis of the right tibia.
case_images: CRIRH2019-8157969.001.jpg
case_images: PMC6594285_01_CRIRH2019-8157969.001.jpg
case_images: fig1
case_images: Magnetic resonance imaging (MRI) showed multifocal abnormal bone marrow signal in the right femur, the left femoral neck, and the proximal epiphysis and metaphysis of the right tibia, which was associated with osteolysis and callus formation (Figure 1).
case_images: Colonoscopy showed pancolitis with crypt inflammation and crypt abscesses.
case_images: CRIRH2019-8157969.002.jpg
case_images: PMC6594285_01_CRIRH2019-8157969.002.jpg
case_images: fig2
case_images: Colonoscopy revealed pancolitis with crypt inflammation and crypt abscesses with no granuloma consistent with ulcerative colitis (Figure 2).
case_images: (a) CTA abdomen and pelvis showed narrowing of the mid-aorta, proximal renal arteries, celiac artery, and superior mesenteric artery; (b) CTA abdomen and pelvis showed narrowing of the mid-aorta and right proximal renal artery; (c) CTA abdomen and pelvis showed narrowing of the mid-aorta and left proximal renal artery; (d) CTA abdomen and pelvis showed narrowing of the mid-aorta, proximal renal arteries, celiac artery, and superior mesenteric artery; (e) CTA abdomen and pelvis showed narrowing of the mid-aorta.
case_images: CRIRH2019-8157969.003.jpg
case_images: PMC6594285_01_CRIRH2019-8157969.003.jpg
case_images: fig3
case_images: C4, and normal von Willebrand factor antigen. CT angiogram (CTA) of the abdomen and pelvis showed narrowing of the mid-aorta, proximal renal arteries, celiac artery, and superior mesenteric artery (Figures 3(a)-3(e)). CTA of the chest showed marked descending thoracic and abdominal aortic wall thickening with progressive luminal narrowing and wall thickening of the visualized portion of the right common carotid artery and celiac trunk, enlarged left atrium, left ventricular hypertrophy, and a small pericardial effusion (Figure 3(e)).
case_images: (a) MRI brain within normal limits; (b) MRA brain within normal limits.
case_images: CRIRH2019-8157969.004.jpg
case_images: PMC6594285_01_CRIRH2019-8157969.004.jpg
case_images: fig4
case_images: MRI/MRA brain showed anterior and posterior circulations of the brain were without occlusion or aneurysm with the patent carotid and vertebral arteries of the neck (Figures 4(a) and 4(b)).