case_images: PMC9747314_01
case_images: Marked bilateral exophthalmos.
case_images: CRIM2022-5103547.001.jpg
case_images: PMC9747314_01_CRIM2022-5103547.001.jpg
case_images: fig1
case_images: Moreover, marked bilateral exophthalmos (Figure 1) and bilateral Raynaud's hands with bluish discolouration were observed (Figure 2).
case_images: Bilateral Raynaud's hands, with marked bluish discoloration of the fingers and nails.
case_images: CRIM2022-5103547.002.jpg
case_images: PMC9747314_01_CRIM2022-5103547.002.jpg
case_images: fig2
case_images: Moreover, marked bilateral exophthalmos (Figure 1) and bilateral Raynaud's hands with bluish discolouration were observed (Figure 2).
case_images: Neck ultrasound of the left lateral aspect of the neck shows a 7 x 7 mm rounded lymph node, with loss of fatty hilum, located medially to the internal jugular vein.
case_images: CRIM2022-5103547.003.jpg
case_images: PMC9747314_01_CRIM2022-5103547.003.jpg
case_images: fig3
case_images: The US revealed approximately 7 x 7 mm LN, located in the middle of the left lateral aspect of the neck with loss of the hilum, and a left submandibular gland of coarse echotexture (Figures 3 and 4).
case_images: Neck ultrasound of both submandibular glands which shows left submandibular gland coarse echotexture, normal size, and vascularity.
case_images: CRIM2022-5103547.004.jpg
case_images: PMC9747314_01_CRIM2022-5103547.004.jpg
case_images: fig4
case_images: The US revealed approximately 7 x 7 mm LN, located in the middle of the left lateral aspect of the neck with loss of the hilum, and a left submandibular gland of coarse echotexture (Figures 3 and 4).
case_images: Ventral white tongue ulcers.
case_images: CRIM2022-5103547.005.jpg
case_images: PMC9747314_01_CRIM2022-5103547.005.jpg
case_images: fig5
case_images: Moreover, he had several white, well-defined, and painless tongue ulcers (Figure 5) that were persistent over a year, oval in shape, less than 1 cm in size, more than 14 in number, and distributed along the anteromedial and the anterolateral portions of the ventral aspect of the tongue.