Case Presentation: A 15 year old female with a history of severe persistent asthma, allergic rhinitis, and eczema presented with a two day history of cough, shortness of breath, and chest pain. She was diagnosed with asthma at age 13 and had eight presumed exacerbations and five diagnoses of pneumonia since that time. She was [...]

Case Presentation: 27-year-old African American woman with no medical history presented with one day of sudden onset bilateral hearing loss and tinnitus. Review of systems was positive for red eyes, blurred vision, photophobia and gait imbalance. This constellation of symptoms was preceded by a viral upper respiratory infection. She denied excessive noise exposure, head trauma [...]

Case Presentation: Introduction: Hydralazine is an adjunctive antihypertensive medication that is associated with antineutrophil cytoplasmic antibody (ANCA) – associated vasculitis. Kidney involvement usually comprises a pauci-immune, necrotizing glomerulonephritis with crescents. We describe a rare case of hydralazine induced ANCA positive vasculitis with acute tubulointerstitial nephritis and without glomerular involvement. Case Report: A 74 year old [...]

Case Presentation: Anti-thyroid Drugs (ATD) such as propilthiourcil (PTU) and methimazole (MTM) can cause a number of systemic changes such as fever, rash, and respiratory symptoms (from epistaxis to diffuse alveolar hemorrhage). Guidelines almost always recommend MTM over PTU because it has fewer side effects. We present a patient diagnosed with Grave’s Disease who developed [...]

Case Presentation: A 36-year-old Dominican female, G3P2002, at six weeks gestation and no significant medical history presented with complaints of fever, headache, myalgias, nausea, vomiting, diarrhea, and diffuse abdominal pain for two days. She denied any recent travels, sick contacts, or any bug bites or ticks on her body. Patient is only allergic to penicillin [...]

Case Presentation: A 49-year-old actively competing male powerlifter presented to our institution for a second opinion of swelling, painful purpura, and necrotic skin ulcerations of the arms and legs. One month prior to presentation, he noticed swelling and discoloration of his right leg, and 10 days prior, he developed a painful ulceration with a central [...]

Case Presentation: : A 34-year-old female with history of migrainous headaches presented with complains of sudden onset, throbbing type of headache radiating to the back of the ear. This was associated with sudden loss of vision in the right eye. She also mentioned night sweats and unintentional weight loss in the last couple of months. [...]

Case Presentation: A 47-year-old African American woman with poly-substance abuse presented with a facial rash, bilateral hand joint pain and painful ulcers to the lower extremities for one week. Physical examination revealed violaceous tender skin lesions on the bilateral helices and right naris. There was mild erythema to the malar area involving the naso-labial folds. [...]

Case Presentation: A 36-year-old man presented with 10 days of progressive rash that started on his abdomen. The lesions grew, developed a more intense violaceous color, and spread to his lower back, buttocks, forearms and lower legs. The rash spared his upper torso, upper arms, neck, face and palmar/plantar surfaces. He also reported chills, nausea, [...]

Case Presentation: A 19 year-old man presented with two days of non-radiating left testicular pain. He denied associated symptoms or trauma. His past medical and surgical histories were unremarkable. He denied sexual activity and denied use of drugs or alcohol. Family history was negative for rheumatologic conditions and malignancy. Vital signs were normal. He had [...]