Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of […]

Case Presentation: An 85-year-old female with a history of non-Hodgkin’s B-cell lymphoma on Ibrutinib is brought into the emergency department (ED) by ambulance for generalized, progressive weakness and recurrent falls. She was recently diagnosed with herpes zoster 2 weeks prior, on her right upper extremity and denies being started on any medication. She complained of […]

Case Presentation: A 31-year-old man with rheumatoid arthritis (on adalimumab, methotrexate, and prednisone) presented with a 3-day history of fatigue, severe asymmetrical weakness of the lower extremities (left > right), and painful vesicular rash spanning multiple dermatomes in the left > right lower extremities (Image 1). There was no evidence of myelopathy or meningismus on […]

Case Presentation: 83 year old female with a history of SLE, rheumatoid arthritis, B-cell lymphoma in remission, hypothyroidism presented with a 4 day history of atraumatic lower back pain, rash to left lower back, nausea, retching, few episodes of small volume, clear vomitus and fatigue. She also reported one year of 25 pound unintentional weight […]

Case Presentation: A 41-year-old man with history of depression and anxiety presented with a 6-day history of severe dysphagia, hoarseness, right ear pain, right-sided headache, and right arm pain with subjective weakness. A local ENT physician had discovered right vocal cord paralysis and referred him for further work up. In our facility basic labs were […]