Case Presentation: A 36-year-old Laotian female with a history of hypothyroidism presented with 3 days of worsening symmetrical proximal muscle weakness and anasarca. She was recently seen at another hospital and presented with one day of worsening throat swelling and diffuse anasarca. Over the next 2 months, she developed dysphagia requiring gastrostomy tube and was [...]

Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for [...]

Case Presentation: The patient is a 77-year-old woman who presented with a two-day history of progressively worsening oropharyngeal dysphagia, dysphonia and left upper extremity weakness. She was discharged from the hospital three days prior for a three-month history of a pruritic rash. During the previous hospitalization, she was noted to have facial erythema, Shawl and [...]