case_images: PMC9381251_01
case_images: Vasculitic ulcer occurring at the groin. Multiple hypopigmented macules on the anterior abdominal wall, extensor surface of the right upper limb, and thigh.
case_images: CRIRH2022-8758263.001.jpg
case_images: PMC9381251_01_CRIRH2022-8758263.001.jpg
case_images: fig1
case_images: In a year, although there was mild improvement in the muscle weakness, he developed multiple vasculitic ulcers (Figure 1) which were deep-seated and slow in healing.
case_images: PMC9381251_02
case_images: PMC9381251_03
case_images: PMC9381251_04
case_images: X-ray images showing gas pockets in the right thigh and leg.
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case_images: fig2
case_images: An X-ray of the affected limb was also suggestive of necrotizing fasciitis (Figure 2).
case_images: Initial debridement-offensive abscesses in the anterior and lateral aspects of the right thigh, right hip, and right lower leg.
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case_images: fig3
case_images: Intraoperatively, extensive necrotizing fasciitis involving the anterior and lateral aspects of the thigh, leg, hip, and posterior aspects of the thigh and hip with pockets of copious offensive abscesses were found (Figure 3).
case_images: Areas of perforation on the proximal ascending colon.
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case_images: fig4
case_images: Exploratory laparotomy was done during which three posteriorly located perforations (Figure 4) in the proximal ascending colon, communicating with the gluteal wound, were found.
case_images: PMC9381251_05