case_images: PMC11415826_01
case_images: The patient's presentation at initial examination and clinical course. (A) The patient's presentation at initial examination (day 4 of hospitalization). Purpura of both lower legs and arthritis of the extremities were noted. (B) The patient's clinical course. mPSL pulse: methylprednisolone pulse therapy; PSL: prednisolone; NRS: numerical rating scale; MMT: manual muscle testing
case_images: rkae103f1.jpg
case_images: PMC11415826_01_rkae103f1.jpg
case_images: rkae103-F1
case_images: At that time, purpura in both lower legs and arthritis of the extremities were noted (Fig. 1A). The course of her clinical and laboratory findings is summarized in Fig. 1B.