Case Presentation: A 64-year-old man presented with persistent anemia, weight loss, fatigue, fever, cough, episcleritis, chondritis, and facial pain. Initial investigations highlighted macrocytic anemia and elevated alkaline phosphate. Despite initial suspicion of a streptococcal infection and subsequent treatment with antibiotics, his condition did not improve. Further evaluation revealed cavitary nodules on chest imaging, with biopsies [...]

Case Presentation: An 82-year-old male presented to the ED with fevers and shortness of breath. Two years prior, he was started on steroid therapy and intermittent tocilizumab for possible giant cell arteritis (GCA) given his complaints of jaw claudication, headache, elevated CRP and intermittent fevers; temporal artery biopsy was not conclusive for GCA. NM PET [...]

Case Presentation: An 80-year-old man with past medical history of GERD and hypothyroidism presented to the hospital with a 3-month history of progressive dysphagia, odynophagia, painful tongue swelling, and an associated 40-pound weight loss. Initial physical exam was only notable for left sided tongue swelling that resolved after one day of dexamethasone. Labs during hospitalization [...]