Meeting
Abstract Number: 830
SHM Converge 2023
Case Presentation: Rheumatoid myositis is often underdiagnosed due to its variable laboratory, MRI, and biopsy findings and often misdiagnosed as idiopathic polymyositis.50-year-old female with seronegative RA and vocal cord dysfunction after COVID-19 infection presented with worsening proximal muscle weakness, dysphagia, and arthritis. A few years back she had multiple episodes of bilateral MCP swelling and […]
Abstract Number: 832
SHM Converge 2023
Case Presentation: A 56-year-old man with elephantiasis nostras verrucosa (ENV) was admitted to the hospital for fevers due to sepsis from lower extremity cellulitis. On exam, he was febrile to 102.1°F with HR 98 and BP 103/65. Cardiopulmonary exam was unremarkable. Malodorous indurated 2cm-thick brown plaques, embedded with gray and yellow debris, covered his feet […]
Abstract Number: 834
SHM Converge 2023
Case Presentation: A 27-year-old female without any significant medical history, who developed acute kidney injury, metabolic acidosis, increasing liver enzymes, coagulopathy, anemia, thrombocytopenia and undifferentiated shock requiring pressors on 6th post-partum delivery. Peripheral smear showed atypical lymphocytes, dohle bodies and neutrophils with toxic vacuolization, suggesting an inflammatory processOther labs were significant for elevated ferritin levels […]
Abstract Number: 856
SHM Converge 2023
Case Presentation: A 74-year-old man presented with chronic complaints of dysphagia to solids for 20 years associated with choking, regurgitation, postprandial cough and shortness of breath. Clinical evaluation revealed tolerance to liquids with persistent globus sensation, and difficulty swallowing solids, requiring concomitant liquid intake. Video-fluoroscopic modified barium swallow did not show evidence of aspiration. Considering […]