case_images: PMC7415123_01
case_images: Purpuric rash scattered over the patient's lower limbs.
case_images: CRIRH2020-3079869.001.jpg
case_images: PMC7415123_01_CRIRH2020-3079869.001.jpg
case_images: fig1
case_images: Further examination revealed the presence of arthritis and a purpuric rash scattered over his lower limbs (Figures 1 and 2).
case_images: Purpuric rash scattered over the patient's lower limbs.
case_images: CRIRH2020-3079869.002.jpg
case_images: PMC7415123_01_CRIRH2020-3079869.002.jpg
case_images: fig2
case_images: Further examination revealed the presence of arthritis and a purpuric rash scattered over his lower limbs (Figures 1 and 2).
case_images: Admission chest X-ray showing bilateral extensive ground glass opacities.
case_images: CRIRH2020-3079869.003.jpg
case_images: PMC7415123_01_CRIRH2020-3079869.003.jpg
case_images: fig3
case_images: On admission, his chest x-ray showed extensive bilateral ground glass opacities (Figure 3).
case_images: Pretreatment high resolution computed tomography.
case_images: CRIRH2020-3079869.004.jpg
case_images: PMC7415123_01_CRIRH2020-3079869.004.jpg
case_images: fig4
case_images: A pulmonary high-resolution computed tomography (HRCT) was ordered for further assessment and demonstrated evidence of alveolar hemorrhage in the form of diffuse scattered patchy areas of ground glass opacities in both lungs involving all lobes except the apical segments of the upper lung lobes and the subpleuretic areas (Figure 4). There was also a linear lucency noted in the left mediastinum representing pneumomediastinum (Figure 4).
case_images: Posttreatment high resolution computed tomography.
case_images: CRIRH2020-3079869.005.jpg
case_images: PMC7415123_01_CRIRH2020-3079869.005.jpg
case_images: fig5
case_images: A repeated HRCT conducted 12 months after his initial presentation showed complete resolution of his ground glass opacities and pneumomediastinum (Figure 5).