case_images: PMC8214487_01
case_images: Very prominent skin rashes affecting the lateral parts of the body in both sides.
case_images: CRIID2021-5576440.001.jpg
case_images: PMC8214487_01_CRIID2021-5576440.001.jpg
case_images: fig1
case_images: A 14-year-old male with no chronic medical conditions presented in the Emergency Department with a five-day history of fever, fatigue, bilateral conjunctivitis, cervical lymphadenopathy, hand swelling, and a skin rash on his lateral parts of the body, groin, and both hands (Figures 1 and 2).
case_images: Skin rashes in the distal parts of the upper extremities and palmar edema.
case_images: CRIID2021-5576440.002.jpg
case_images: PMC8214487_01_CRIID2021-5576440.002.jpg
case_images: fig2
case_images: A 14-year-old male with no chronic medical conditions presented in the Emergency Department with a five-day history of fever, fatigue, bilateral conjunctivitis, cervical lymphadenopathy, hand swelling, and a skin rash on his lateral parts of the body, groin, and both hands (Figures 1 and 2).
case_images: Axial MRI images (a) diffusion weighted and (b) apparent diffusion coefficient (ADC), showing acute brain ischemia in the territory of the medial cerebral artery.
case_images: CRIID2021-5576440.003.jpg
case_images: PMC8214487_01_CRIID2021-5576440.003.jpg
case_images: fig3
case_images: Angiography) were conducted, showing brain ischemia on the terminal branches of the left medial cerebral artery (Figure 3). As a result, the patient was admitted in our Clinic of Neurology for further evaluation and treatment.
case_images: Brian MRI images of the patient, two weeks after neurological symptom onset. Axial (a) fluid-attenuated inversion recovery (FLAIR) MRI scans and (b) diffusion-weighted images (DWI) showing a hyperintense signal and edema of the caudate nucleus head, putamen, and parts of the external capsule and insula on the left side.
case_images: CRIID2021-5576440.004.jpg
case_images: PMC8214487_01_CRIID2021-5576440.004.jpg
case_images: fig4
case_images: Also, ischemic changes on brain imaging were decreased (Figure 4).