Case Presentation: A 53-year-old man presented with nine months of abdominal pain, nausea, constipation, dizziness and syncope with standing, weight loss, and edema.  He had anasarca, persistent orthostatic hypotension, anemia, hypoalbuminemia, and nephrotic-range proteinuria.  BNP was elevated.  Adrenocorticotropic hormone stimulation test was normal.  Echocardiogram showed left ventricular hypertrophy with normal ejection fraction.  Computed tomography showed […]

Case Presentation: A 40-year-old Caucasian woman with history of surgically-repaired lumbar spinal stenosis presented with a progressive swollen and painful right foot over past few hours. The patient was concerned of a spider bite though did not see a spider. The dorsal aspect of the foot was erythematous, edematous, with a pinpoint area of necrosis […]