case_images: PMC3336228_01
case_images: Skin vesiculobullous lesions on left leg.
case_images: CRIM.ID2011-234018.001.jpg
case_images: PMC3336228_01_CRIM.ID2011-234018.001.jpg
case_images: fig1
case_images: On physical examination, she presented vesiculobullous lesions (Figure 1) mostly located on her trunk and extremities, including palms and soles (Figure 2).
case_images: Skin lesions on left palm and on third finger.
case_images: CRIM.ID2011-234018.002.jpg
case_images: PMC3336228_01_CRIM.ID2011-234018.002.jpg
case_images: fig2
case_images: On physical examination, she presented vesiculobullous lesions (Figure 1) mostly located on her trunk and extremities, including palms and soles (Figure 2).
case_images: Metacarpal-phalangeal arthritis of the left hand.
case_images: CRIM.ID2011-234018.003.jpg
case_images: PMC3336228_01_CRIM.ID2011-234018.003.jpg
case_images: fig3
case_images: An asymmetric arthritis of her left elbow, wrist and metacarpophalangeal joints (Figure 3), right ankle, and first metatarsophalangeal joint was present.
case_images: Sagittal T2-weighted, gadolinium-enhanced NMR imaging demonstrates enhancing epidural collection ventrally compressing the thecal sac opposite the L5-S2 vertebrae. The L5-S1 disk space is partially obliterated and the bony end plates enhanced, reflecting discitis and osteomyelitis.
case_images: CRIM.ID2011-234018.004.jpg
case_images: PMC3336228_01_CRIM.ID2011-234018.004.jpg
case_images: fig4