Case Presentation: A 17 y.o. female with systemic lupus erythematosus (SLE) presented with several weeks of worsening migratory polyarthralgia, as well as sporadic fevers, night sweats, and chills. Prednisone was begun 3 weeks prior for a presumed SLE flare, given elevated anti double-stranded DNA (anti-dsDNA) and erythrocyte sedimentation rate (ESR) and hematuria, but provided no [...]

Case Presentation: A 46-year-old woman with a past medical history of breast cancer, on tamoxifen, presented to the hospital for two-day history of progressive and generalized rash with a fever. Two weeks prior, she took cephalexin for one week for cellulitis of her right lower leg. The patient did not report a recent travel history. [...]

Case Presentation: An 80-year old woman with a PMH of a hemorrhagic R thalamic CVA, CKD3, HTN, HLD, T2DM presents for weakness and fevers in the setting of a 1 month long diffuse rash. The rash began on her legs, but spread to gluteal region, chest, arms, and palms/soles. The lesions started as blisters that [...]

Case Presentation: A 80 year-old man with past medical history of frontotemporal dementia and seronegative rheumatoid arthritis (RA) presented with a maculopapular rash that started two weeks ago on his back that progressed to his chest, abdomen, neck, face, scalp, and arms. Physical exam also showed oral mucositis. For his RA, he had been on [...]

Case Presentation: A 57-day old ex-term, Caucasian female presented with one day of diffuse rash and fever in the setting of congestion and a sick sibling. Her rash was initially attributed to viral erythema multiforme. She was well-appearing but given vulnerable age and elevated band count, she was admitted for observation. With improvement of her [...]

Case Presentation: A 60-year-old-female with past medical history of type 2 diabetes mellitus, hypertension, and hyperlipidemia presented with scaly pink macules with collarette ring of scale on bilateral lower extremity and forearms (figure 1). Some of her associated symptoms included itchiness. There was no drug use history and family history negative for similar skin lesion. [...]

Case Presentation: A 55-year-old male with a remote history of intravenous drug use leading to aortic valve endocarditis and bioprosthetic aortic valve replacement, Bentall ascending aortic arch repair, and Micra leadless pacemaker placement, presented to his primary care physician with a petechial rash on his lower extremities. He noted several weeks of malaise and low-grade [...]