case_images: PMC10832423_01
case_images: Computed tomography scan of Patient 1. Multifocal consolidation and a thick-walled cavity were present in the right lung, and bilateral lymphadenectasis of the pulmonary hilum and mediastinum was observed.
case_images: 10.1177_03000605231223059-fig1.jpg
case_images: PMC10832423_01_10.1177_03000605231223059-fig1.jpg
case_images: fig1-03000605231223059
case_images: Chest computed tomography showed active pulmonary tuberculosis (Figure 1).
case_images: Changes in clinical features (a) 5 days, (b) 6 days, (c) 8 days, (d) 9 days, and (e) 14 days after injection of TNF-alpha inhibitor in Patient 1. The mucosal lesions, erythema, and skin peeling lesions gradually healed during the course of treatment, accompanied by loss of toenails and pubic hair.
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case_images: PMC10832423_01_10.1177_03000605231223059-fig2.jpg
case_images: fig2-03000605231223059
case_images: The changes in the patient's clinical features after injection of TNF-alpha inhibitor are shown in Figure 2.
case_images: PMC10832423_02
case_images: Photographs of Patient 2 (a) before and (b) 10 days after injection of TNF-alpha inhibitor. (a) Before TNF-alpha inhibitor treatment, the patient exhibited widespread erythema and epidermal detachment, multiple blisters and erosions, hemorrhagic crusted erosions of the lips with erosive stomatitis, eyelid edema, and severe bilateral conjunctivitis and (b) Ten days after injection of TNF-alpha inhibitor, the erythema and epidermal detachment regressed, and the oral and genital mucosal and ophthalmologic abnormalities resolved.
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case_images: PMC10832423_02_10.1177_03000605231223059-fig3.jpg
case_images: fig3-03000605231223059
case_images: His condition improved after several days (Figure 3).
case_images: PMC10832423_03