Case Presentation: A 36 year‐old African‐American vegan female presented to the Emergency room for worsening fatigue and weakness. Physical examination demonstrated pallor. Laboratory data showed pancytopenia with Hgb 7.8 g/dl (baseline 13), MCV 108.1 fl, WBC 3,900/mm3, and platelets 28,000/mm3. There was no history of prior addictions. The peripheral smear had 2+ schistocytes, megaloblasts and […]

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 […]