case_images: PMC10754039_01
case_images: Presentation of bullous lesions two years after the first hospitalization.
case_images: acc-10-04-10274-g001.jpg
case_images: PMC10754039_01_acc-10-04-10274-g001.jpg
case_images: f1
case_images: A chart review revealed that she had a prior presentation about two years ago, with a symptomatology that would have started with the appearance of bullous lesions on the anterior leg that progressed to the dorsum of the foot (Figure 1), followed by a sudden fever, concomitant with the increasing volume of the limb, and a sensation of heat.
case_images: Presentation of the lesions during the second hospitalization.
case_images: acc-10-04-10274-g002.jpg
case_images: PMC10754039_01_acc-10-04-10274-g002.jpg
case_images: f2
case_images: Given the progression of the bullous lesions and the onset of pain, she decided to return to the hospital after spending about five days in an outside hospital (Figure 2). The findings of the first ER evaluation were within normal limits, except for the examination of the lower limbs, which revealed marked asymmetry with shortening of the right lower limb and increased volume of the left limb, with marked redness and bullous lesions localized on the anterior left leg and the dorsum of the foot (Figure 2).
case_images: Disappearance of bullous lesions after two weeks of management.
case_images: acc-10-04-10274-g003.jpg
case_images: PMC10754039_01_acc-10-04-10274-g003.jpg
case_images: f3
case_images: About a week after her blood glucose came to control, signs of infection disappeared (WBC:6,800, no fever), as did the bullous lesions (Figure 3).