case_images: PMC10853325_01
case_images: Clinical images of the patient. Ulcers on the first toe (A) and anterolateral foot (B) of the right foot are refractory. Sunken edema is evident in the medial malleolus (C).
case_images: fneur-14-1336382-g001.jpg
case_images: PMC10853325_01_fneur-14-1336382-g001.jpg
case_images: fig1
case_images: The first and fifth toes developed refractory ulcerations upon bone exposure (Figure 1). Mild concave edema was observed in both the lower limbs (Figure 1).
case_images: MRI and MRA images of the head of the patient. (A) The head MRI shows two infarctions at the right parietal lobe and temporo-occipital junction (white arrow). (B) The right internal carotid artery and right middle cerebral artery demonstrate severe stenosis and are almost occluded (white arrow). MRI: magnetic resonance imaging. MRA: magnetic resonance angiography.
case_images: fneur-14-1336382-g002.jpg
case_images: PMC10853325_01_fneur-14-1336382-g002.jpg
case_images: fig2
case_images: Magnetic resonance imaging of the head revealed two infarctions in the right parietal lobe and temporo-occipital junction due to the occlusion of the right internal carotid artery and right middle cerebral artery (Figure 2).
case_images: Clues from the chest and abdominal CT. The soft-tissue window of chest CT shows an enlarged heart, and pericardial and pleural effusion (A), while the bone window of chest CT reveals osteosclerotic changes of vertebral body (B). Abdominal CT indicates hepatosplenomegaly (C). The radionuclide scan demonstrates a slight concentration of radioactivity on the fifth thoracic vertebral body (D). CT: computed tomography.
case_images: fneur-14-1336382-g003.jpg
case_images: PMC10853325_01_fneur-14-1336382-g003.jpg
case_images: fig3
case_images: Imaging findings, including a small amount of pleural and pericardial effusion, mild pulmonary hypertension, plump liver and spleen, and vertebral osteosclerosis (Figure 3), provided clues for investigating the underlying disease.