case_images: PMC6913253_01
case_images: Silvery scaly lesions and plaques on the extensor surfaces of the hands and forearm.
case_images: CRIC2019-1061065.001.jpg
case_images: PMC6913253_01_CRIC2019-1061065.001.jpg
case_images: fig1
case_images: There were widespread silvery scaly skin lesions interspersed with hyperpigmented plaques all over his body but mainly on the extensor surfaces of the upper limb (Figure 1).
case_images: Resting 12-lead ECG obtained at presentation showing short PR interval, positive delta wave in V1 (type A Wolff-Parkinson-White pattern), and broad QRS complex.
case_images: CRIC2019-1061065.002.jpg
case_images: PMC6913253_01_CRIC2019-1061065.002.jpg
case_images: fig2
case_images: Resting ECG (Figure 2) revealed a regular sinus rhythm at the rate of 78 cycles per minute with a QRS axis of +90 .
case_images: Parasternal short axis (a) and long axis (b) views showing asymmetric septal hypertrophy.
case_images: CRIC2019-1061065.003.jpg
case_images: PMC6913253_01_CRIC2019-1061065.003.jpg
case_images: fig3
case_images: Two-dimensional transthoracic echocardiography revealed a maximum septal thickness of 27 mm at the basal anterior septum with a corresponding posterior wall thickness of 13 mm (Figures 3(a) and 3(b)).
case_images: Late peaking of flow (dagger shape) across the left ventricular outflow tract.
case_images: CRIC2019-1061065.004.jpg
case_images: PMC6913253_01_CRIC2019-1061065.004.jpg
case_images: fig4
case_images: Left ventricular outflow peak gradient was 36 mmHg, with a late peaking of velocity (Figure 4).