Case Presentation: A 41-year-old healthy male presented to emergency department with cough and shortness of breath. Shortness of breath and cough was gradually progressive over one week, worsening with exertion. Cough is dry with no known aggravating factor. He denied fever or wheezing. No history of active or passive cigarette smoking, sick contact, recent travel, [...]

Case Presentation: A 44 year-old male with a history of gout presented with bilateral hand swelling, muscle weakness, fatigue, rash, and shortness of breath. The symptoms have progressed for the last 6 months to the point of inability to walk more than a block and needing assistance getting up despite a course of standard gout [...]

Case Presentation: A 75-year-old female with a medical history of type II diabetes mellitus, asthma, and arthritis presented with approximately three months of recurrent pneumonia. On admission, she complained of progressive generalized weakness with associated shoulder pain, shortness of breath, cough with foul-smelling sputum, and new, bilateral wrist swelling. Vital signs were significant for tachypnea [...]

Case Presentation: A 50 year old obese female with a past medical history of rheumatoid arthritis, bilateral DVT and PE 4 years ago on apixaban, hypothyroidism, fibromyalgia, and chronic migraines presented to the emergency department with daily fevers, shortness of breath, and anxiety for one week. She reported persistent chest heaviness and productive cough of [...]

Case Presentation: Microscopic polyangiitis (MPA) is a rare form of small-vessel vasculitis strongly associated with antineutrophil cytoplasmic antibodies (ANCA), particularly myeloperoxidase (MPO-ANCA). While the kidneys are the most commonly affected organ, MPA can also present with pulmonary involvement, manifesting as interstitial lung disease (ILD). This presentation is particularly challenging to diagnose in older adults, as [...]