case_images: PMC10616463_01
case_images: (A,B) Ecchymoses and mild swelling of both lower extremities. (C) Effusion in the right ankle capsule and swelling of the right posterior tibial tendon sheath, as well as the plantar, dorsal, and soft tissues around them. (D) Edema of the right calf interosseous muscle and effusion in the right knee.
case_images: fnut-10-1265334-g001.jpg
case_images: PMC10616463_01_fnut-10-1265334-g001.jpg
case_images: fig1
case_images: Physical examination on admission revealed a low body mass index of 17.34, swelling of the tongue and atrophy of the tongue papillae, ecchymoses and mild swelling of both lower extremities (Figures 1A,B), and tenderness in the right gastrocnemius muscle. Magnetic resonance imaging (MRI) further suggested oedema of the right calf interosseous muscle and a slight effusion in the right knee (Figure 1C). In addition, there was a slight effusion in the right ankle capsule and swelling of the right posterior tibial tendon sheath, as well as the plantar, dorsal, and soft tissues around them (Figure 1D).