case_images: PMC4753742_01
case_images: PMC4753742_02
case_images: Mucosal ulcers. (a) oral mucosal aphthous ulcers, (b) penile ulcer
case_images: IJN-26-45-g001.jpg
case_images: PMC4753742_02_IJN-26-45-g001.jpg
case_images: F1
case_images: During this period, he had recurrence of oral ulcers and a large genital ulcer [Figure 1] which was apparently present for few days prior to reporting to us.
case_images: Photomicrograph of renal biopsy. (a) light microscopy, (b and c) glomerulus showing mesangial proliferation and neutrophilic infiltrates, (d) immunofluorescence showing abundant peripheral and mesangial C3 deposits
case_images: IJN-26-45-g002.jpg
case_images: PMC4753742_02_IJN-26-45-g002.jpg
case_images: F2
case_images: Renal biopsy showed 3 glomeruli with increased mesangial matrix and cellularity with focal infiltration of the tuft with few neutrophils [Figure 2]. Immunofluorescence study showed abundant peripheral and mesangial deposits of C3c [Figure 2] and mild deposit of IgM in the glomeruli and C4d stain was negative.
case_images: Photomicrograph of the mucosal ulcer. (a) light microscopy showing subepithelial vascular proliferation, (b) perivascular lymphocytic infiltration with scattered neutrophilic infiltrates
case_images: IJN-26-45-g003.jpg
case_images: PMC4753742_02_IJN-26-45-g003.jpg
case_images: F3
case_images: He underwent biopsy of the oral ulcer, which showed subepithelial vascular proliferation, and perivascular lymphocytic infiltration along with scattered neutrophils, consistent with vasculitis [Figure 3].