case_images: PMC4531955_01
case_images: The scarlatiniform skin rash in the 16-year-old boy with hemolytic uremic syndrome associated with Epstein-Barr virus infection. This rash appeared a few days before admission and subsided on the 3rd day after admission.
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case_images: PMC4531955_01_kjim-13-2-131-11f1.jpg
case_images: f1-kjim-13-2-131-11
case_images: He had a skin rash over his entire body (scarlatiniform and petechial) (Fig. 1, 2), periorbital edema, cervical lymphadenopathy and severe tenderness in the right costovertebral area.
case_images: In the close-up of back, the petechial lesions were also observed. They also seem to be due to the Epstein-Barr virus infection.
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case_images: PMC4531955_01_kjim-13-2-131-11f2.jpg
case_images: f2-kjim-13-2-131-11
case_images: He had a skin rash over his entire body (scarlatiniform and petechial) (Fig. 1, 2), periorbital edema, cervical lymphadenopathy and severe tenderness in the right costovertebral area.
case_images: The serum hemoglobin level, platelet count, blood urea nitrogen and creatinine before and after admission. Transfusion was done as follows: 4 units of packed RBCs 3 days before admission, 10 units of platelet concentrates and 2 units of fresh frozen plasma 2 days before admission and 2 units of packed RBCs on the 4th and on the 17th day after admission. H: hemodialysis; P: plasmapheresis using 10 units of fresh frozen plasma; T: transfusion; Hb: hemoglobin; BUN: blood urea nitrogen; Cr: creatinine.
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case_images: Other values had also improved; the hemoglobin level, 101 g/L; reticulocyte, 0.001; platelet count, 190x109 /L; total bilirubin, 5.1 mumol/L; AST, 0.31 mukat/L; ALT, 0.17 mukat/L; blood pressure was 140/90 mmHg (Fig. 3).