Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs [...]

Case Presentation: A 71-year-old woman with past medical history of COPD, nicotine dependence, and untreated chronic hepatitis C presented to emergency department with progressive swelling, muscular pain, and weakness of her upper and lower extremities as well as dysphagia. On arrival to the emergency department, exam demonstrated proximal more than distal decreased strength of the [...]

Case Presentation: Anti-melanoma differentiation-associated gene 5 dermatomyositis (MDA5-DM) is a subset of amyopathic dermatomyositis that may present with oral ulcerations, painful palmar papules, arthritis, and panniculitis.1 Unique characteristics of MDA5-DM versus other types of dermatomyositis include a higher incidence of interstitial lung disease (ILD), lower incidence of myositis, and a higher rate of morality. MDA5-DM [...]