Case Presentation: A 64-year-old woman presented to the Emergency Department (ED) with widespread exanthem that started weeks prior to presentation. She reported having had similar exanthems at the same time the previous two years, which resolved with oral steroid therapy on both occasions. However, they were not as extensive as the present rash. 6 weeks [...]

Case Presentation: A 70-year-old woman with hypereosinophilic syndrome (HES) complicated by recurrent organizing pneumonia (OP) was admitted to a hospital medicine service with four weeks of involuntary spasms of her abdominal wall muscles and hypoxemia. She reported having similar episodes during past OP flares which resolved quickly with prednisone. Notable admission vitals included a heart [...]

Case Presentation: The case represents a 74-year-old female who presented to the emergency room with constitution of symptoms including headache, fatigue, Upper extremity/Neck pain and worsening of “skin rash”. For the past 10 years, the patient had suffered from Compulsive Skin picking disorder, necessitating multiple visits to PCP and Dermatologist with recurrent courses of antibiotics [...]

Case Presentation: A 42-year-old male with a history of intravenous (IV) drug abuse presented with four weeks of skin lesions on his bilateral dorsal forearms and one week of associated right-hand swelling and anesthesia. Prior to the development of the skin wounds, the patient had been frequently injecting fentanyl into the veins of both forearms; [...]

Case Presentation: A 34-year-old African American male with history of HTN, HLD, obesity, T2DM complicated with ESRD on hemodialysis the past 2 years presented to our EC in Houston for progressively worsening dyspnea, volume overload and confusion. The patient had been previously receiving regular hemodialysis three times weekly. However, due to lack of transportation, he [...]

Case Presentation: A 49-year old man presented to the emergency department (ED) with dizziness and lethargy. He had a history of hypertension, anemia, and pilomatrix carcinoma (PC), a rare cutaneous malignancy. This was diagnosed one year prior and treated with wide excision with negative margins. He was lost to follow up for 7 months prior [...]