case_images: PMC11056499_01
case_images: (A-C) Diffuse erythema and scale over face and the trunk, on admission; (a-c) Post-treatment improvement showing only scattered erythema on the face and almost complete improvement over the trunk.
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case_images: f1
case_images: Physical examination showed diffuse exanthematous eruption on the trunk ( Figure 1 ).
case_images: (A) The gallbladder wall was edematous, thickened, and rough with a slightly blurred surrounding fat space suggesting acute cholecystitis, (B) The appendix was slightly thickened, about 1.2 cm at its thickest, with a blurred surrounding fat space and multiple striated shadows, (C) PET-CT scans did not reveal any definitive signs of malignancy.
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case_images: f2
case_images: The abdominal CT scan revealed heterogeneous liver densities, suggestive of intrahepatic lymphatic congestion and a potential liver cyst, as well as an enlarged gallbladder exhibiting edema and splenomegaly ( Figure 2A ). The kidneys displayed irregular borders, accompanied by thickened bilateral renal fascia and parietal peritoneum, as well as a slightly hazy appearance of the surrounding adipose tissue. Additionally, the scan identified an 11 mm dilated appendix that was non-compressible, surrounded by a hazy fat space and several striated shadows in close proximity (see  Figure 2B ). The PET-CT scans did not reveal any definitive evidence of malignancy ( Figure 2C ).
case_images: A bone marrow biopsy was negative for malignancy and did not show evidence of hemophagocytosis.
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case_images: f3
case_images: Furthermore, bone marrow biopsy findings were negative for malignancy and hemophagocytosis indications were absent ( Figure 3 ).