Case Presentation: A 28-year-old female with a medical history of lupus nephritis, chronic kidney disease (CKD) stage 4, and chronic anemia presented with progressive dyspnea on exertion, easy bruising, and a presyncope episode. She denied any fever, recent illness, diarrhea, vomiting, sick contacts, or changes in medication. On arrival, the patient was hemodynamically stable. Laboratory [...]

Case Presentation: A 54-year-old female presented to the Emergency Department (ED) with acute onset right leg weakness. Her medical history included recurrent cryptogenic strokes, fibromuscular dysplasia (FMD) involving the bilateral internal carotid arteries (ICAs), thrombocytopenia presumed to be immune thrombocytopenic purpura, and heterozygous Factor V Leiden and prothrombin G20210A gene mutations. Initial physical exam revealed [...]

Case Presentation: A 22-year-old female with a history of immune thrombocytopenia (ITP) and asthma presented with fever, altered mental status, and bilateral lower extremity petechiae. She was previously taking hydroxychloroquine daily for ITP but discontinued it on her own eight months prior. She denied any new medications, recent animal exposures, insect bites, trauma, or recent [...]