Case Presentation: A 69-year-old male with a past medical history of hyperlipidemia on atorvastatin and type 2 diabetes presenting with progressive muscle pain and weakness. Who reports proximal muscle weakness, worsening over four years, and most prominent in the lower extremities. He started atorvastatin approximately one year prior to evaluation and has a family history […]

Case Presentation: Lyme disease (LD) is caused by the Ixodes tick-borne infection with spirochetes Borrelia burgdorferi [1]. LD is most commonly reported in the Northeastern and upper Midwestern United States [2]. It is divided into three stages. Early localized, stage 1, with Erythema Migrans (EM) bull’s eye lesion present in 70-80% of patients [1], within […]

Case Presentation: 80 y.o. female with a history significant for hypertension and hyperlipidemia who presented to the Emergency Department for abnormal blood work. Patient had been in her usual state of health but had noticed a dark color to her urine and a yellow tinge to her eyes.On review of her blood work she was […]

Case Presentation: A 25-year-old female patient presented to the hospital with intermittent fever and frontal headache for the past month and sudden onset bilateral lower limb sensorimotor weakness along with sphincter dysfunction for the past 2 days. There was no history of neck rigidity or back pain. No incidence of trauma, dizziness, or loss of […]

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 […]