Case Presentation: A 67-year-old woman with a history of cocaine use presented with six weeks of progressive bilateral upper and lower extremity weakness, burning pain, and difficulty ambulating. Exam was significant for low grade fever and decreased sensation to pinprick in a stocking-glove distribution in all extremities. Muscle strength was reduced in the distal upper [...]

Case Presentation: 76-year-old Hispanic male, presented with two weeks of progressing rash, worsening AMS and new symptoms of fever and severe extremities pain. Previously treated for allergy, UTI, and Pneumonia without improvement. His past medical history included Hypertension, DM-2, and ischemic stroke. On examination he was disoriented and unable to answer questions. A disseminated non [...]

Case Presentation: A 71-year-old Caucasian female with history of atrial fibrillation, gastroesophageal reflux disease, chronic kidney disease stage 3a was admitted for 2-week history of nausea, vomiting, and decreased urinary output. The patient had a recent admission for atrial fibrillation with rapid ventricular rate without causative etiology identified and was discharged on amiodarone and apixaban. [...]

Case Presentation: A 58-year-old female presented to the emergency department with severe acute abdominal and bilateral flank pain. Medical comorbidities included hypertension and obesity.On arrival, she was hemodynamically stable and labs were notable for an elevated D-dimer. Due to concern for pulmonary embolism (PE), a heparin infusion was started. Soon afterwards, she developed acute hypotension. [...]

Case Presentation: A 72-year-old male presented to the emergency room for macrocytic anemia and a creatinine of 9.72 mg/dL on outpatient lab work. Past medical history was notable for paroxysmal supraventricular tachycardia, gastroesophageal reflux disease and heart failure with reduced ejection fraction. On admission, he complained of six months of fatigue with constipation, 60 lbs [...]

Case Presentation: We present a rare case of hydralazine-induced diffuse alveolar hemorrhage (DAH) in a 74-year-old male with a history of hypertension. The patient was admitted with symptoms including hemoptysis, dyspnea, and dark urine. Initial findings included a biopsy-confirmed leukocytoclastic vasculitis, elevated MPO antibodies, and evidence of DAH on bronchoscopy. Despite the absence of glomerulonephritis, [...]

Case Presentation: An 83-year-old male with a history of seizures, CHF, hyperlipidemia, obstructive sleep apnea, and BPH presented with 2-3 days of altered mental status. His family reported worsening leg swelling and blisters for the past few months, with a rash spreading to his upper extremities and wounds draining serosanguinous fluid. He was hypoxic in [...]

Case Presentation: A 60-year-old male with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus presented to the emergency department with a progressive lower extremity rash, abdominal discomfort, and diarrhea. The patient was hospitalized five days prior for lower extremity cellulitis and was discharged on clindamycin. After discharge, he developed a bilateral lower extremity [...]

Case Presentation: A 33 year old female with reported history of recurrent ‘ear infections’ presented with acute ischemia of bilateral digits of her hands and feet after one month of bilateral hand and foot paraesthesia. Labs on admission showed white blood cell count 11.08 K/uL, hemoglobin 12.5 g/dL, platelet count 622 K/uL, ESR 107 mm/hr, [...]

Case Presentation: Leukocytoclastic vasculitis (LCV) is a rare immune complex-mediated vasculitis of the dermal capillaries and venules, classically presenting with palpable purpura. Here, we report a case of LCV presenting with lower extremity rash and proteinuria.A 54-year-old man with a history of gout, eczema, and hyperlipidemia presented with two weeks of swelling and burning rash [...]