Case Presentation: A 43-year-old male presented to the emergency room with dry mouth and fever. The patient endorsed pain and dryness when eating solid foods. He noted 40 pounds of unintentional weight loss over 1 month. He had a 30 pack-year smoking history but reported no alcohol or illicit drug use. He did not take […]

Case Presentation: Case 1A 49 year old male without past medical history presented to the hospital with 2 weeks of painful bilateral ankle swelling followed by chest pain, cough, and fever. He denied family history of autoimmune disease. Chem 7 and complete blood count were unremarkable. Lower extremity ultrasonography was negative for deep venous thrombosis. […]

Case Presentation: A 58-year-old female presented to the hospital with fevers and L upper extremity weakness. She had a history of neurosarcoidosis diagnosed two years previously and treated with prednisone, infliximab, and mycophenolate mofetil. She had discharged ten days ago after a prolonged hospitalization for evaluation of multiple R cerebral lesions and mild leptomeningeal enhancement. […]