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Figure Neurologic, gastrointestinal, and dermatologic findings

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Presentation on theme: "Figure Neurologic, gastrointestinal, and dermatologic findings"— Presentation transcript:

1 Figure Neurologic, gastrointestinal, and dermatologic findings
Neurologic, gastrointestinal, and dermatologic findings (A) Coronal section of the brain. In the right hemisphere, there are multiple hemorrhages in white matter, hippocampus, basal gray matter, and extensive hemorrhagic cortical infarction. (B) MRI fluid-attenuated inversion recovery image shows bilateral subdural collections (arrows) with extensive subacute infarcts and hemorrhage, predominantly on the right. (C) A 4-mm porcelain white papule with central atrophy and an erythematous rim on the patient's left abdomen. (D) Papule with a dull pink gray center and red rim present on the right medial plantar foot. (E) Deposition of membrane attack complex C5b-9 in vessel walls, immunoperoxidase ×10. (F) High-power view of the skin shows increased mucin (arrow) around dermal vessels. The vessel walls have a smudged appearance and 2 are filled with fibrin thrombi. (G) White porcelain lesions (arrow) on the proximal bowel serosa seen at autopsy. Microscopically, these areas show increased mucin, abnormal vessels with degenerating, smudged vessel walls, and thrombi in medium-sized vessels. Sabrina Gmuca et al. Neurol Neuroimmunol Neuroinflamm 2016;3:e206 © 2016 American Academy of Neurology

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