Case Presentation: A 7-year-old boy with autism spectrum disorder, restricted diet, developmental delay, and iron deficiency anemia presented to the emergency department with decreased oral intake, gingivitis, and progressive refusal to walk over several weeks.Family noticed red and swollen gums one month prior to presentation. He then developed acute refusal to walk one week prior [...]

Case Presentation: Here is a case report that describes an immunized immunocompetent 17-year-old male who presented with acute onset sharp migratory poly-articular pain and swelling as a solitary complaint that began in the left hip and right wrist associated with night sweats and difficult ambulation. Fever and other systemic symptoms were absent. Upon initial work-up, [...]

Case Presentation: A 15-year-old female with past medical history of constipation, autism spectrum disorder (ASD), Marfanoid habitus, and scoliosis was admitted for six months of ongoing abdominal pain and distention. Abdominal Computed Tomography (CT) scan demonstrated diffuse gaseous colonic distension, measuring up to 10cm in diameter without evidence of obstruction. The patient was high risk [...]

Case Presentation: A 21-month-old girl was brought to the emergency department for acute, severe right arm and leg weakness. She was unable to stand, appearing pale and fatigued. Labs were notable for hemoglobin (Hgb) of 3.5 g/dL, leukocyte of 19.7×103/µL, platelet of 340×103/µL, absolute reticulocyte of 6.4×103/µL, and MCV of 49 fL. Microcytic anemia and [...]

Case Presentation: A 5-year-old male presented to an outside hospital with one month of headaches, decreased visual acuity (VA) and color vision, and one day of vomiting. Workup included CT brain and venogram with an incidental corpus callosum cyst, ESR of 19 (0-15 mm/hr), and normal blood counts, CRP, and metabolic and hepatic panels. Ophthalmologic [...]