Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides are systemic autoimmune diseases affecting small blood vessels.  The clinical signs and symptoms of ANCA vasculitis are nonspecific and may include multisystem manifestations.  As a result, many conditions mimic ANCA-associated vasculitis, making the diagnosis challenging.  We report a case of ANCA-positive vasculitis presenting as rapidly progressive glomerulonephritis that was initially [...]

Ehlers-Danlos syndrome (EDS) is a group of relatively rare genetic disorders of connective tissue with EDS hypermobility type 3 being by far the most common. This disease has many complications, some of which may be easily overlooked. I report a case of nausea, vomiting, and diarrhea with gastroparesis in a patient with EDS that was [...]

Case Presentation: 54 yo White Male with PMH of hereditary hemorrhagic telangiectasia (HHT) presented with right-sided focal neurological deficits, word finding difficulties, confusion and headache.  He was treated for a brain abscess with surgical resection and antibiotics X 1 month at an OSH attributed to recently sustained head trauma.  Follow up MRI 1 month later, [...]

Case Presentation: A 76-year old male with a medical history of coronary artery disease, hypertension, and hyperlipidemia presented with worsening dysphagia and reflux over the past three months. He was diagnosed with type 2 achalasia on recent manometry. Patient had previously undergone 2 esophageal dilation treatments with minimal improvement. Most recent upper endoscopy demonstrated normal [...]

Case Presentation: An 87 year old female with past medical history of Insulin dependent diabetes mellitus type II presented post fall with desquamative blistering lesions over lower extremities bilaterally. She noticed the lesions two days prior to presentation, and described them as fluid filled blisters that were painless. After her fall, the blisters burst from [...]

Case Presentation: This is a 76-year-old woman, former heavy smoker with history of Hashimoto’s thyroiditis and breast cancer in remission. She was diagnosed with dermatomyositis in 2015 when she developed a heliotrope rash. As part of the paraneoplastic workup, she underwent imaging which revealed a left lung mass and abdominal lymphadenopathy. Biopsy of lung mass [...]

Case Presentation: 60 y/o African American male with h/o chronic esophageal strictures s/p multiple esophageal dilations presented to the ER with complaints of weakness and dizziness. He met criteria for sepsis with possible source as aspiration pneumonia and was started on broad spectrum antibiotics. Two sets of blood cultures done from admission grew Streptococcus mitis/oralis. [...]

Case Presentation: An 18 year male presented to the ED with complaints of 48 hours of chest pain radiating towards the neck associated with a sensation of fullness of the upper chest.  He began a vigorous bench pressing regimen about two weeks prior to admission (PTA) with last session 5 days PTA. History is remarkable [...]

Case Presentation: A 58-year-old male of Vietnamese origin with a history of uncontrolled diabetes mellitus was brought to the hospital after being found unresponsive at his home. Physical exam revealed a febrile male with tachycardia and a soft tissue swelling on the anterior part of his left shin. Labs revealed leukocytosis, renal insufficiency, lactic acidosis [...]

Case Presentation: A 25-year-old man presented with 2 days of left arm weakness and unsteadiness. Four years prior, he presented with three separate episodes of oral and scrotal ulcers. Two years later he developed pericarditis. The same year he presented with hematemesis from an antral ulcer. Six months later he was admitted for seizure and [...]