case_images: PMC4531688_01
case_images: Computed tomographic scan of the abdomen demonstrates irregular dilatation of the pancreatic duct, diffuse peripancreatic inflammation and a large pseudocyst in the tail of the pancreas with adjacent splenic vein occlusion (A). Portal vein occlusion is shown at the level of the second order branches of the right portal vein with its corresponding perfusion defect and centering geographic low attenuation, suggesting infarction (B).
case_images: kjim-17-4-263-10f1.jpg
case_images: PMC4531688_01_kjim-17-4-263-10f1.jpg
case_images: f1-kjim-17-4-263-10
case_images: A computed tomographic (CT) scan of the abdomen (Figure 1) revealed evidence of acute exacerbated, chronic pancreatitis, including pseudocysts, one of which was approximately 7 cm in diameter and was located in the tail of the pancreas with adjacent splenic vein occlusion.
case_images: Multiple oozing crusted erythematous patches are found on the forehead, nasolabial and perioral areas (A). Vesiculopustular and erythematous eruptions are also seen on the palm (B) sole (C).
case_images: kjim-17-4-263-10f2.jpg
case_images: PMC4531688_01_kjim-17-4-263-10f2.jpg
case_images: f2-kjim-17-4-263-10
case_images: Two weeks after treatment including TPN, the patient exhibited multiple skin lesions and continued to experience diarrhea more than 10 times daily. These skin lesions were vesiculopustular and erythematous eruptions with scales on the face (Figure 2A) and perineal areas. During the following week, the lesions spread to involve the hands and feet (Figure 2B, 2C).