Case Presentation: A 32 year‐old man presented with worsening exertional dyspnea. Medical history was notable for asthma; diagnosed at age 8. His only medication was an albuterol inhaler which he had not used for >5 years because it “didn’t work well.” He denied allergies, smoking or drug use. Vital signs were normal and examination was […]

Case Presentation: A previously healthy 38-year-old man presented with 8 days of intermittent colicky RUQ pain and jaundice. He denied any OTC or illicit drug use but did report daily alcohol use. On admission HAV, HBV, HCV, and HIV 1 & 2 screening, urine drug screen, and autoimmune workup were negative. Ceruloplasmin, serum copper, serum […]

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. […]