Case Presentation: We present a 79-year-old woman with a longstanding history of seropositive, erosive, and nodular rheumatoid arthritis. Her rheumatoid arthritis was diagnosed over 40 years prior and had been complicated by Large Granular Lymphocytic (LGL) Leukemia and Felty syndrome with confirmed splenomegaly and neutropenia. She was originally treated with filgrastim for severe neutropenia. About [...]

Case Presentation: A 68-year-old Spanish speaking female with a history of chronic lymphocytic leukemia (CLL), in remission, and autoimmune hemolytic anemia (AIHA) presented to the ED with left sided neck pain, edema, and hoarseness. These symptoms had been present for the past four months despite three courses of antibiotics. Steroids given in the ED improved [...]

Case Presentation: Patient is a 60-year-old male with past medical history of Ledin’s factor V deficiency who presented to the ER with complaints of fever, chills, and weakness. His symptoms started with a headache, cyclical fevers, and violent rigors lasting several minutes. With the onset of rigors, patient progressed to develop ascending weakness. In the [...]

Case Presentation: A 53-year-old male, post-allogeneic hematopoietic stem cell transplant (HSCT) for relapsed acute myeloid leukemia (AML) presented to an outside hospital with high fevers, frontal lobe headaches, and blood-tinged sinus drainage, two weeks after completing chemotherapy. Days later, the patient was transferred to our hospital for advanced care, reporting continued fevers (up to 38.6oC), [...]

Case Presentation: A 74 year old man with a history of hypertension and chronic hepatitis C infection presented to the hospital with a worsening pruritic rash on his palms and soles. The rash developed acutely one year prior and biopsy was suggestive of eczematous dermatitis. Symptoms persisted in spite of multiple treatments including topical and [...]

Case Presentation: 19 year old male who presented to Riverside Medical Center with acute onset, progressive bilateral lower extremity weakness and paresthesias, urinary retention and saddle anesthesia. Initial CBC significant for anemia and thrombocytopenia. Peripheral smear showed 67% circulating blasts with occasional Auer rods, which was suggestive of acute myeloid leukemia. Flow cytommetry showed expression [...]

Case Presentation: Our 28-year-old female patient with a history of acute myeloid leukemia (AML) and allogeneic peripheral blood stem cell transplant presented to the Emergency Department (ED) for the evaluation of intermittent confusion and word-finding difficulty for one week. The patient’s vitals on admission were within normal limits. A physical examination was significant for diffuse [...]

Case Presentation: We present a case series of three patients who developed secondary B-cell acute lymphoblastic leukemia (B-ALL) after multiple myeloma (MM) treatment. Case 1: A 71-year-old male with a four-year history of standard-risk kappa MM presented with weakness, fever, cough, and pancytopenia. His MM had initially been treated with six cycles of lenalidomide (R), [...]