case_images: PMC9530593_01
case_images: PMC9530593_02
case_images: Diffuse erythematous hyperkeratotic scaling and fissuring in the (A) palm and (B) sole (B) of case 2.
case_images: fped-10-953033-g001.jpg
case_images: PMC9530593_02_fped-10-953033-g001.jpg
case_images: F1
case_images: On examination, she had thickened and keratotic skin over palms and soles, dental caries, and hepatomegaly (Figure 1).
case_images: (A-C) Computed tomography of case 2 showing a hypoattenuating focal lesion with thick/shaggy walls with perilesional edema suggestive of abscess in the liver, arrow marks. (D) Ultrasound images of case 2 showing resolution of abscess following initiation of corticosteroids (after 6 weeks of initiation of therapy).
case_images: fped-10-953033-g002.jpg
case_images: PMC9530593_02_fped-10-953033-g002.jpg
case_images: F2
case_images: Before presenting to us, she had undergone computed tomography (CT) of the abdomen that showed a heterogeneous area measuring 3.3 cm x 2.6 cm x 2.3 cm in size seen in segment III of the liver (Figures 2A-C). The follow-up USG at 6 weeks showed 1 x 1 cm residual liver abscess (Figure 2D).