Case Presentation: 62-year-old female patient with a past medical history of psoriasis (patient was on Adalimumab for three years, then switched to Ixekizumab around eight months before current presentation), gastroesophageal reflux disease, anxiety, hyperlipidemia, and a remote history of smoking in her twenties, who presented with progressive shortness of breath of five days duration. She [...]

Case Presentation: 57-year-old female patient with no significant past medical history presented to the ER with a chief complaint of progressive dyspnea and lower extremity weakness for the past 3 months. Oxygen saturation was 87% on room air. Physical exam revealed bilateral crackles on lung auscultation. Bilateral lower extremities (BLE) had 3/5 strength with a [...]

Case Presentation: A 41-year-old woman with a history of progressive ILD, Raynaud’s phenomenon, and Sjögren syndrome presented to ED for worsening dyspnea on exertion, malaise, fevers, chills, and body ache lasting more than 3 weeks. She had received treatment with antibiotics and a short course of steroids as an outpatient without effect. On physical exam, [...]

Case Presentation: A 24-year-old woman with no medical history presented with eight weeks of nausea, vomiting, and fevers. Six weeks prior to admission she had a positive monospot test, positive EBV IgG, and negative EBV IgM. Two weeks prior, she developed cyclical fevers, night sweats, and weight loss. She presented to the ED due to [...]