Case Presentation: A 74-year-old Hispanic male patient with a history of monoclonal gammopathy of undetermined significance presented with worsening right upper extremity (RUE) motor weakness for the last few months. This was present in an ulnar nerve distribution with muscle wasting in the hypothenar and fourth and fifth metacarpal areas. Blood work was notable for [...]

Case Presentation: A 60-year-old female with a history of Castleman disease presented outpatient with painful progressive “stocking-and-glove” polyneuropathy. She was referred for EMG, which demonstrated significant sensorimotor neuropathy. Notable lab findings months prior included new subclinical hypothyroidism, normocytic anemia, and thrombocytosis. Given her presentation, she was admitted for expedited evaluation. Upon arrival, neurology and hematology [...]

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), [...]

Case Presentation: A 23-year-old female with a one-year history of intermittent back pain who presented to an outside hospital with acutely worsened low back pain, and new onset left leg weakness, constipation, and urinary retention. She did not have health insurance and was unable to seek proper medical care. She had been told her pain [...]