Case Presentation: 67 year old man with a history of psoriasiform dermatitis refractory to dapsone and hydroxychloroquine, thrombotic thrombocytopenic purpura status post plasma exchange and rituximab, and a history of multiple venous thromboemboli, and a fever of unknown origin presented with progressive worsening of his skin lesions. On exam, the patient was febrile (temperature 39.3C), [...]

Case Presentation: This is an otherwise healthy 28-year-old female who presented with sudden, atraumatic left lower extremity paresis. With the same onset, she noted left-sided paresthesia and left upper extremity weakness. She additionally had a history of two episodes of transient, unilateral blurred vision. On admission, her examination revealed intact cranial nerves. Strength was intact [...]

Case Presentation: A 30-year-old G1P1 woman with a history of seasonal allergies, depression, and remote intravenous heroin use presented with progressively worsening bilateral hand swelling over the past three years since giving birth. She described painless bilateral hand swelling with nail thinning, skin bruising, decreased finger dexterity, and intermittent leakage of fluid. She did not [...]