Case Presentation: A 65-year-old man with a past medical history of gout and chronic pancreatitis complicated by pseudocyst presented with bilateral lower leg swelling, erythema, and pain for few weeks. The rash was also associated with bilateral lower extremity nodules that would spontaneously open and discharge white material. He was seen and treated in the […]

Case Presentation: We present a 70 year old Caucasian male with an established diagnosis of Darier’s disease (DD) since childhood. Our patient was recently diagnosed with Intraductal Papillary Mucinous Cystic Neoplasm of the pancreas and underwent a pancreatectomy, splenectomy with hepaticojejunostomy and Billroth II gastrojejunostomy. The stress of his recent surgery exacerbated his DD, and […]

Case Presentation: A 43- year- old healthy man presented to the emergency department with chills, arm pain, swelling, and redness after sustaining a puncture wound from a dead catfish. Vital signs included temperature 38.2 C, HR 116, BP 87/55. He had left medial wrist and forearm erythema, swelling and induration surrounding a small puncture wound […]

Case Presentation: A 40-year-old Caucasian woman with history of surgically-repaired lumbar spinal stenosis presented with a progressive swollen and painful right foot over past few hours. The patient was concerned of a spider bite though did not see a spider. The dorsal aspect of the foot was erythematous, edematous, with a pinpoint area of necrosis […]

Case Presentation: This case involves a 53-year-old female with a past medical history of sigmoid colon cancer treated by resection and Capecitabine, type 2 diabetes with macro/microvascular complications, and obesity class II who presented to the emergency department with a rapidly worsening and blistering painful right leg ulceration. Associated symptoms included subjective fevers and chills. […]

Case Presentation: A 90 year old female with invasive ductal carcinoma of the breast previously treated with lumpectomy and whole breast radiotherapy, currently on hormonal therapy presented to the hospital with 3 days of confusion, slurred speech, generalized weakness and erythema of the right chest and right lower extremity. Patient denied recent changes in skin […]

Case Presentation: A 76-year old man presented to emergency department for 2-week history of right buttock pain, swelling, and drainage. On presentation, he had a temperature of 101.3 F, otherwise hemodynamically stable. Physical examination revealed right buttock erythema and serosanguinous purulence (figure). There were no cardiac murmurs. Leukocytes count was within normal limits. CT abdomen […]

Case Presentation: A 19 year-old obese man presented to the emergency room with 5-day history of periumbilical rash, pain and bloody purulent umbilical discharge.On presentation, the patient was febrile (38.4 C), hypotensive (98/54 mmHg), and tachycardic (111 beats/min). On exam, the periumbilical region was erythematous, indurated, and tender to palpation without rebound tenderness or guarding.Laboratory […]