Case Presentation: A 76-year-old woman with past medical history of sero-negative polyarthritis presented with bilateral wrist pain and swelling. She had failed multiple immune-modulators. Synovial wrist biopsies were consistent with synovitis and osteomyelitis. She developed increased swelling, warmth, and a purulent drainage from her right wrist shortly after the biopsies prompting antibiotic treatment that resolved [...]

Case Presentation: A 48 year-old woman presented with altered mental status and combativeness. She had been her usual self earlier in the day, but had been complaining of a headache and fatigue since the prior day. She woke up from a nap confused and agitated prompting her husband to call emergency personnel. Medical history included [...]

Case Presentation: A 53 year-old woman presented with bilateral foot drop. She reported one-month history of progressive clumsiness and a weak hand grip. These symptoms began with an initially painful rash on her feet. She denied fatigue, myalgia, arthralgia, confusion, dizziness, or loss of bowel or bladder function. She denied recent illness or travel. Past [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: A 42 year old female who was previously healthy presented to hospital for evaluation of rash. The rash had appeared 5 days prior and was pruritic in nature. The rash began on the patient’s chest and face and spread to the rest of her torso and extremities. The rash began as purpuric papules [...]

Case Presentation: A 21 year old man presented to his primary care doctor with 4 days of fever and pruritic rash on his hands and feet. Labs showed leukocytosis and transaminitis. He was started on doxycycline for Rocky Mountain Spotted Fever, however tick borne serologies, MonoSpot, HIV, RPR and hepatidities were ultimately negative. He presented [...]

Case Presentation: A 28-year-old female with a PMH of SLE nephritis on mycophenolate and prednisone, ESRD, and HTN was admitted after a witnessed seizure at home. She was intubated for airway protection and admitted to the MICU. Her blood pressure on admission was 188/117 mm Hg. A brain MRI without contrast showed extensive areas of [...]

Case Presentation: We present a case of a 77 year old Filipino male with Chronic Kidney Disease Stage 5, Diabetes Type 2, stage I diastolic congestive heart failure and hypertension who presented with dyspnea and abdominal pain in the setting of paradoxical hypercalcemia. On CT chest, the patient had unremarkable lung parenchyma with a large [...]

Case Presentation: Patient is a 48-year-old man who presented with dysphagia, weight loss and diffuse skin rash. He reported a large, non-tender lesion on his nose, and similar-appearing lesions on his thorax, extremities, face and mouth. The patient was diagnosed with HIV three years prior to presentation, but had never been treated with antiretroviral therapy [...]

Case Presentation: A 60 yr old male with eczematous dermatitis and history of erythroderma presented to Dermatology clinic with four days of diffuse skin weeping, swelling, and bilateral lower extremity skin sloughing. Two weeks prior, he underwent partial colectomy for adenocarcinoma of his sigmoid colon. Cyclosporine was initiated for suspected erythroderma flare of eczematous dermatitis [...]