Case Presentation: A 40-year-old female presented to the emergency department with 4 days of unsteady gait, somnolence, and confusion. Her history included atrial fibrillation, depression, and Degos disease complicated by chronic malabsorption, pain, and jejunal perforations s/p ileocecectomy with total parenteral nutrition (TPN) dependence. She did not drink alcohol. Additional history revealed she switched to [...]