case_images: PMC5998289_01
case_images: Petechial rash found in the distal third of the legs and the feet.
case_images: ZJCH_A_1475187_F0001_PB.jpg
case_images: PMC5998289_01_ZJCH_A_1475187_F0001_PB.jpg
case_images: F0001
case_images: Physical examination was significant for tongue edema, right mandibular lymph node enlargement, a petechial rash on legs and buccal mucosa (Figures 1 and 2) and ridged nails (Figure 3).
case_images: Petechial rash on buccal mucosa.
case_images: ZJCH_A_1475187_F0002_PB.jpg
case_images: PMC5998289_01_ZJCH_A_1475187_F0002_PB.jpg
case_images: F0002
case_images: Physical examination was significant for tongue edema, right mandibular lymph node enlargement, a petechial rash on legs and buccal mucosa (Figures 1 and 2) and ridged nails (Figure 3).
case_images: Demonstrating nail ridging.
case_images: ZJCH_A_1475187_F0003_PB.jpg
case_images: PMC5998289_01_ZJCH_A_1475187_F0003_PB.jpg
case_images: F0003
case_images: Physical examination was significant for tongue edema, right mandibular lymph node enlargement, a petechial rash on legs and buccal mucosa (Figures 1 and 2) and ridged nails (Figure 3).
case_images: EKG showing ST segment elevations in leads II, III, and aVF.
case_images: ZJCH_A_1475187_F0004_PB.jpg
case_images: PMC5998289_01_ZJCH_A_1475187_F0004_PB.jpg
case_images: F0004
case_images: ST segment elevation in leads II, III, and aVF (Figure 4) and troponin 2.04 ng/mL. She was diagnosed as having acute ST segment elevation myocardial infarction.