Case Presentation: A 27-year old African American male presented with 3 months of bilateral inguinal lymph node enlargement, fevers, night sweats, fatigue, and weight loss. Patient presented for outpatient nodal biopsy and subsequently sent to the ED with severe thrombocytopenia with platelets less than 10,000 and complaints of gum bleeding and petechiae of 3 days. [...]

Case Presentation: A 42 Y/O AAM with PMH of polysubstance abuse presented to ED with 2 weeks of worsening vertigo, headache, left facial weakness, blurred vision and new onset dysphagia. Physical exam was notable for complete left facial (VII) palsy, left abducence (VI) palsy and umbilicated facial rash. MRI of head revealed a 2.6×2.6×3.9 cm progressive brain lesion at [...]

Case Presentation: A 57 years old man with a history of prediabetes and Lyme disease diagnosed two months prior to admission and treated with doxycycline for three weeks, was transferred from another hospital to our institution for recurrent high grade fevers and shaking chills for two months. Originally from Guatemala, he had lived in America [...]

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 [...]

Case Presentation: A 29-year-old male presented to our hospital with four weeks of worsening fatigue, shortness of breath and a 15lb weight loss due to anorexia. He was short of breath walking up a single flight of stairs, which resolved with rest. He had no environmental exposures, sick contacts or recent travel. His mother had [...]

Case Presentation: A 54-year-old Japanese man presented to his primary care physician with a 3-month history of epigastric pain, fever, and unintentional weight loss. Upper endoscopy showed only a gastric polyp. Abdominal computed tomography showed small intestinal dilatation accompanied by adhesion to the sigmoid colon, and perianal abscess. Crohn’s disease was suspected and he was [...]

Case Presentation: A 65-year-old Japanese man presented with a 5-month history of bilateral leg edema. He visited his family doctor 3 months ago and started taking furosemide, but the symptom didn’t improve. His past medical history included chronic atrial fibrillation. He reported malaise, constipation and weight gain but denied fever or night sweats. On admission, [...]

Case Presentation: A 66-year-old man with atopic dermatitis (managed with topical triamcinolone) presented with three weeks of a diffuse pruritic eczematous rash, anorexia, and a 15-lb weight loss. Vital signs were normal, but he was cachectic (BMI 15) with palpable inguinal lymphadenopathy and erythroderma affecting over 90% of his body. He was admitted for inability [...]

Case Presentation: An 83-year-old man visiting from rural Mexico, presented with one-month-old diffuse, painful, multinodular subcutaneous lesions with a pruritic rash on the left leg. A week prior to admission, the patient reported new inguinal and upper extremity lesions and a violaceous, pruritic, non-painful, maculopapular rash at the waistband with progression to the upper arms. [...]

Case Presentation: A 36 year-old otherwise healthy female presented with six days of acute flu-like symptoms, myalgias, persistent fever and chills associated with abdominal bloating and vomiting for three days. Physical exam was notable for temperature of 103 F, sinus tachycardia and mild tenderness at the left upper quadrant on deep palpation. Labs were notable [...]