case_images: PMC3913154_01
case_images: PMC3913154_02
case_images: MRI findings were: Multiple hyper signal lesions in periventricular and subcortical with involvement of subcortical Mfibers in parietal lobe, preserving basal gangelia, thalamus and corpus callosum, the possibility of demyelinating disease should be considered
case_images: IJHOSCR-8-041-g001.jpg
case_images: PMC3913154_02_IJHOSCR-8-041-g001.jpg
case_images: F0001
case_images: Brain MRI which was done (Figure 1) and the patient was referred to rheumatologist for more evaluation.
case_images: PMC3913154_03
case_images: Chest computed tomography showed right side pleural effusion
case_images: IJHOSCR-8-041-g002.jpg
case_images: PMC3913154_03_IJHOSCR-8-041-g002.jpg
case_images: F0002
case_images: Chest CT scan was done and right sided pleural effusion with multiple small nodules in right lung parenchyma was seen (Figure 2).
case_images: Abdominopelvic computed tomography showed hypo dense areas suggestive for kidney infarction
case_images: IJHOSCR-8-041-g003.jpg
case_images: PMC3913154_03_IJHOSCR-8-041-g003.jpg
case_images: F0003
case_images: U/A and CBC revealed hematuria and leukocytosis (WBC=17500) and abdominopelvic CT scan findings were infracted zones in both kidneys, suggestive for systemic vasculitis or embolic process (Figure 3).
case_images: Brain MRI showed a hyper signal lesion in left hemisphere of cerebellum
case_images: IJHOSCR-8-041-g004.jpg
case_images: PMC3913154_03_IJHOSCR-8-041-g004.jpg
case_images: F0004
case_images: This time Brain MRI revealed evidence of one hyper signal lesion in left hemisphere of cerebellum (Figure 4).
case_images: PMC3913154_04
case_images: PMC3913154_05