Case Presentation: A 43 year-old-woman with no known medical history presented with two months intermittent fever, cough, pleurisy, hematuria, and weight loss. On exam she had diffuse crackles and lower extremity edema. The patient was intubated for respiratory distress. Laboratory workup revealed acute anemia and urinalysis consistent with nephritic syndrome. Chest x-ray showed bilateral diffuse [...]

Case Presentation: A 28 year old Nepali female presented with convulsive activity and one week of progressive changes in behavior and mental acuity. She had polyarthralgia, painful cervical lymph nodes, malar rash, subjective fever, headaches, and fatigue for 2 months. Previous workup revealed positive antinuclear antibody (ANA), anti-ribonuclearprotein (RNP), and anti-Ro antibodies with no formal [...]

Case Presentation: A 37 year old female with a past medical history of Hypertension, Ischemic Cardiomyopathy (EF=40-45%), Systemic Lupus Erythematosus, and Antiphospholipid Antibody Syndrome presented to the Emergency Department with complaints of pleuritic chest pain that had been persistent for two days duration which radiated down her left arm. Initial laboratory workup noted a normal [...]

Case Presentation: A 29-year-old male presented with a new onset focal seizure and dull persistent right sided headaches for 2 weeks. Physical exam was negative for any focal neurological deficit except for a diffuse erythematous rash involving trunk and his extremities, bilateral conjunctival injection and mild confusion. An urgent CT head revealed a small acute [...]

Case Presentation: Introduction:Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that most commonly affects younger women. Late onset SLE is relatively rare and represents a specific subgroup. Laryngeal involvement in SLE is uncommon and has a wide range of disease severity. Case: A 68 year old female patient with history of diabetes mellitus type [...]