Case Presentation: A 76-year-old white woman with a past medical history of RA, being treated with MTX, sarilumab, and folic acid supplementation, presented to the hospital for worsening pain and lethargy. Physical exam displayed dry mucous membranes, ulcerations throughout the oropharynx, and purple digits from distal interphalangeal joints to the fingernails bilaterally. Additionally, she was [...]

Case Presentation: A 55-year-old woman with a history of rheumatoid arthritis presented for generalized weakness, dysuria, nausea, and dizziness of 1 week duration. She developed progressive weakness with associated decreased exercise tolerance, nausea, and diarrhea. Her oral intake decreased. There was no inciting event and did not note any recent close contacts with similar symptoms.Her [...]

Case Presentation: A 71 year old woman with a history of rheumatoid arthritis with multiple previous emergency room visits for fever presented with fatigue and weakness. Over the past few months she had nearly daily fevers, with decreased oral intake and urination over the past week. Her family members had previously tested positive for Influenza, [...]

Case Presentation: A 49-year-old Caucasian woman presented to the emergency department with fever, shortness of breath, chest pain, and abdominal pain. She had a five-to-six-month history of intermittent bilateral arthralgias in her knees, shoulders, and wrists. Physical exam was remarkable for a positive Murphy sign. Chest CT, and CXR showed an enlarged cardiac silhouette, with [...]

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 [...]