Case Presentation: A 53-year-old female with chronic small fiber polyneuropathy and erythromelalgia presented with severe headaches, nausea, vomiting, diarrhea, body aches, photophobia, and neck stiffness for two days. Symptoms started one week after receiving intravenous immunoglobulin (IVIG) for an erythromelalgia flare. On presentation to the ER, she was afebrile and physical examination was unremarkable. Respiratory [...]

Case Presentation: A 64-year-old male with a history of idiopathic portal vein hypertension requiring splenectomy at age four, COPD, and treated lung cancer presented with dyspnea and anorexia. Clinical examination revealed tachypnea, tachycardia, dry cough, cachexia, and dry skin. CT scans showed bilateral pulmonary opacities and confirmed asplenia. He was admitted to the intensive care [...]