Case Presentation: A 60 year old man with a prior history of cutaneous sarcoidosis was admitted to the hospital with fatigue, myalgias, fever, and hypotension. His physical exam revealed a maculopapular erythematous rash on his trunk and bilateral lower extremities. Of note, three weeks prior to his presentation, he was treated with a ten day [...]

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 [...]

Case Presentation: A 79 year old man with a history of prostate cancer s/p transurethral resection of the prostate complicated by urethral stricture, urinary retention, and incontinence, congenital unilateral kidney, recurrent deep vein thromboses (DVT) not on anticoagulation, and bilateral knee replacements presented with swelling and redness of his right leg following a 6-hour drive [...]

Case Presentation: Patient is a middle-aged African-American female with a history of hypertension and hyperlipidemia, for which she had been on atorvastatin for approximately four years. She originally presented to her primary care physician for evaluation of a one month history of progressive myalgias and proximal muscle weakness. Creatine phosphokinase (CPK) level was elevated to [...]

Case Presentation: Autoimmune myopathies are rare diseases, with a prevalence of just 9–14 cases per 100,000 people and only about 10% of these have Immune-mediated necrotizing myopathy (IMNM). Instead of muscle biopsy, recent guidelines describe IMNM based on antibodies. Here we present a case of Anti-SRP myopathy, a rare subtype of IMNM.This is a case [...]