Case Presentation: A 48-year-old African American male with history of AIDS on antiretroviral therapy and Pneumocystis jirovecii pneumonia (PJP) was admitted for a two-week history of shortness of breath and 20 pound unintentional weight loss. He also noted a three-month history of worsening left leg rash, despite using topical steroids prescribed by a dermatologist for [...]

Case Presentation: An otherwise healthy 31 years old Brazilian male presented to the hospital with two months history of constitutional symptoms, diffuse pruritic rash on torso and extremities, and diffuse lymphadenopathy. He lived with his wife and daughter, and most recent travel to Brazil was three months ago. His father has diabetes and mother died [...]

Case Presentation: A previously healthy 5 year-old boy presented to the emergency room with a “red and swollen penis”. No history of trauma or inciting event. The day prior, he complained of suprapubic pain and had 4 episodes of NBNB emesis. No fevers and otherwise negative ROS. Labs in the ED were significant for a [...]

Case Presentation: A 9 year old male with history of astrocytoma presented to the ED with a diffuse erythematous rash for 4 days and fever for 2 days. The rash was reportedly pruritic, began on his trunk, and then progressed to his extremities. It was associated with facial edema with periorbital prominence. Of note, temozolamide [...]

Case Presentation: An 82-year-old man with a history of hypertension and known aortic insufficiency presented with bilateral lower extremity rash, ankle edema, and bradycardia. The ankle edema began two weeks prior to presentation followed by an erythematous, pruritic rash on his anterior shins. He initially presented to urgent care and was found to have a [...]

Case Presentation: A 58 year old man, who has sex with men, presented with three weeks of blurred vision. During this period he also noted fevers, malaise, and headache. Physical exam revealed a patchy erythematous scalp rash with associated alopecia. Fundoscopic examination revealed anterior uveitis bilaterally. Serum RPR was positive, with a titer of 1:64, [...]

Case Presentation: A 57 year old Caucasian man with history of  porphyria cutanea tarda- recently started on therapeutic phlebotomy, COPD, alcohol abuse, hypertension was admitted to the hospital with recurrent syncopal spells of one day duration. He also endorsed bilateral hand pain and weakness, weight loss, dyspnea and headache. Vital signs were stable on arrival. [...]