case_images: PMC8635928_01
case_images: Swollen erythematous right and left ears with shriveled up outer ears resembling cauliflower ears.
case_images: CRIRH2021-3600451.001.jpg
case_images: PMC8635928_01_CRIRH2021-3600451.001.jpg
case_images: fig1
case_images: The pinnae were swollen, erythematous, and tender, resembling "cauliflower ears" (Figure 1).
case_images: (a, b) Synovitis of the right and left knees when the patient was first seen at the outpatients' department. (c) A significant decrease in knee synovitis 2 months into treatment, with an old arthrotomy scar (arrowed).
case_images: CRIRH2021-3600451.002.jpg
case_images: PMC8635928_01_CRIRH2021-3600451.002.jpg
case_images: fig2
case_images: There was acute synovitis of both knees with an old arthrotomy scar on the left (Figure 2). Her knee swelling and tenderness had improved (Figure 2(c)), with a significant decline in her inflammatory markers (ESR-34 mm/hr, CRP 42.7 mg/l).
case_images: Lateral cervical X-ray showed partial narrowing in the region of the cricoid cartilage (arrowed).
case_images: CRIRH2021-3600451.003.jpg
case_images: PMC8635928_01_CRIRH2021-3600451.003.jpg
case_images: fig3
case_images: Lateral cervical X-ray showed partial narrowing in the region of the cricoid cartilage (Figure 3).
case_images: Compression fracture at the L1 vertebra (arrowed), with similar but milder changes in the T11, L3, and L4 vertebrae suggestive of a bone softening process due to glucocorticoid-induced osteoporosis and underlying hemoglobinopathy a year and a half into the treatment of her condition.
case_images: CRIRH2021-3600451.004.jpg
case_images: PMC8635928_01_CRIRH2021-3600451.004.jpg
case_images: fig4
case_images: A compression fracture was confirmed on MRI, with similar but less pronounced changes seen in T11, L3, and L4 vertebrae, suggestive of a bone softening process in keeping with glucocorticoid-induced osteoporosis and underlying hemoglobinopathy (Figure 4).