Case Presentation: A 38-year-old woman with well-controlled Crohn’s disease on immunosuppression presented to the emergency department with a three- day history of rash and fevers following antimicrobial treatment at an outside urgent care facility for presumed bacterial sinusitis. At the urgent care facility, she had received intramuscular ceftriaxone, oral azithromycin, and oral prednisone. The following […]

Case Presentation: A 65 year old man presented with a one day history of pruritic red rash that started on the feet and then progressed to his trunk and upper extremities. He denied fever, joint, urinary and gastrointestinal complaints. Examination of the skin revealed a petechial and occasionally palpable purpuric rash in the distribution of […]

Case Presentation: A 76-year-old man with history of diabetes mellitus, atrial fibrillation, colonic adenoma, and recent self-reported bed bug infestation presents with one month of pruritic rash. On interview, he also endorses progressive edema, dyspnea on exertion, orthopnea, as well as 5 days of melena. Admission exam is notable for anasarca and diffuse, tense fluid-filled […]

Case Presentation: 37 year old Hispanic male with Hyperlipidemia presented with diffuse abdominal pain and cramping for 2 days duration. Physical exam showed facial hyper pigmentation, soft palate – 2×2 mm hyper pigmented macules, hyper pigmentation on nails of all extremities. Patient had stocky neck without Goiter and scant axillary hair. Significant laboratory findings were: […]