Case Presentation: We present a 68 year-old man, with a history of benign prostatic hypertrophy, who presented with several months of progressive personality changes and mild gait changes. His wife noticed he had become more introverted, and his gait had become more ataxic with prolonged ambulation. He also started having subtle memory problems. On physical, […]

Case Presentation: A 76‐year‐old man with hypertension, coronary disease, and diabetes presented for routine follow‐up. Social history was negative for alcohol, tattoos, travel, or illicit drug use. He denied blood transfusions or chemical exposures. Exam was benign. Labs revealed alkaline phosphatase 198 IU/L (38‐126) and aspartate transaminase 49 IU/L (15‐41). Bilirubin, creatinine, coagulation, and complete […]