Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of […]

Case Presentation:      A 6 yr old female presented with 14 days of fever to 105. She had 11 days of right flank pain and was sleeping more. Outpatient work-up revealed negative urine cx, Monospot, tick panel, CXR, chest CT and re-assuring CBC and BMP. She received 2 days of SMZ-TMP while the urine […]

Case Presentation: A 43 year old male to female transgender patient with a history of AIDS on HAART, ESRD on hemodialysis, pulmonary embolism, heart failure with reduced ejection fraction with AICD in place, history of recurrent ventricular and supraventricular tachycardia with prior ablation presented to our hospital reporting dizziness and several episodes of non-bloody non-bilious […]

Case Presentation: A 40-year-old female with adult-onset Still’s disease (AoSD) refractory to methylprednisolone and who had been recently started on anakinra 2 months prior to hospitalization was admitted with 2 weeks of fatigue, nausea, diffuse pruritis, jaundice, and intermittent fevers and rash. Exam was notable for jaundice and salmon-colored rashes on her trunk and back. […]

Case Presentation: A 24 year-old woman presented to the emergency room for a sore throat and diffuse body aches, with weakness in her shoulders and hips to the point that she required assistance with ambulation over the past week. She was afebrile and normotensive at admission but initial labs were significant for a WBC of […]