Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was [...]

Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI [...]

Case Presentation: An 84-year-old Caucasian male with a history of hyperlipidemia presented to his primary care provider with a 6-week history of an erythematous rash with associated proximal limb weakness but without complaint of breathing or swallowing difficulties. Statin-induced rash with myopathy were suspected so his statin was stopped, and he was referred for skin [...]

Case Presentation: Merkel cell carcinoma (MCC) is a rare neuroendocrine malignancy, with high propensity to metastasize and reoccur. It most commonly affects the skin, and seldomly involves internal organs [1]. MCC is a rare entity, with 2488 cases/year in 2013 in the United states and more aggressive than melanoma [1, 2]. Gaining insight into this [...]

Case Presentation: A 65-year-old female with a past medical history of hypertension, hyperlipidemia, coronary artery disease, and tobacco abuse was admitted to the hospital for worsening shortness of breath and cough. The patient was initially admitted to the hospital for cough and shortness of breath. CT chest revealed multifocal pneumonia and the patient was started [...]