case_images: PMC8092098_01
case_images: Clinical picture depicting muscle wasting associated with drooling of saliva
case_images: CCD-12-73-g001.jpg
case_images: PMC8092098_01_CCD-12-73-g001.jpg
case_images: F1
case_images: At the time of examination, the patient was not able to perform usual daily tasks due to muscle wasting [Figure 1] and involuntary movements of muscles of the limbs and orofacial region. The orofacial examination of the patient showed drooling of saliva, because of which the patient needed to wear a bib throughout the day [Figure 1].
case_images: Sutured traumatic ulcer
case_images: CCD-12-73-g002.jpg
case_images: PMC8092098_01_CCD-12-73-g002.jpg
case_images: F2
case_images: At the time of examination, a traumatic ulcer was also noted on the right buccal mucosa [Figure 2 shows sutured traumatic ulcer].
case_images: On peripheral blood examination, acanthocytosis was <2%
case_images: CCD-12-73-g003.jpg
case_images: PMC8092098_01_CCD-12-73-g003.jpg
case_images: F3
case_images: Although acanthocytosis is pathognomonic to ChAc, peripheral blood examination was done on two occasions, which revealed that acanthocytosis was <2% [Figure 3].