Case Presentation: A 54 year-old female presented to the ED with five days of fatigue, nausea, vomiting, and abdominal pain, increasing confusion, and somnolence after a recent viral illness. On physical exam, she was noted to have large, fixed masses in her breasts with bulky axillary lymphadenopathy. Upon further questioning, the patient revealed that she [...]

Case Presentation: A 51-year-old female presented with a three month history of migratory rash and weakness. Initially, she developed periorbital swelling, eyelid discoloration, and a migrating pruritic erythematous rash. The rash originated on her upper arms and thighs progressing to her chest, back, and face. She reported muscle weakness, most notably an inability to lift [...]

Case Presentation: Microangiopathic hemolytic anemia (MAHA) refers to mechanical hemolytic anemia characterized by schistocytes on peripheral smear (PS). It is seen in various conditions such as thrombotic thrombocytopenic purpura (TTP), hemolytic uremic syndrome (HUS), disseminated intravascular coagulation (DIC), infections and immune disorders. Rarely, it can occur in malignant tumors as a paraneoplastic syndrome. We describe [...]