Case Presentation: A 41 year‐old man with a past medical history of AIDS CD4 count of 2 cells/ml was found in the subway complaining of generalized weakness and a tender lesion on his left leg. He denied recent trauma, insect bites or exposure to seawater or animals. His only recent travel was to Boston and […]

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: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 […]

Case Presentation: An 8 week old female born 33 4/7 weeks was referred by her primary care provider (PCP) for evaluation of failure to thrive (FTT).  At birth, she required a 2 week NICU stay for phototherapy as well as “feeding and growing”.  She did not require respiratory support and was ultimately discharged home in […]

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 […]

Case Presentation: 72 years old Caucasian male presented to the hospital with the complaint of generalized maculopapular rash involving the chest and bilateral upper and lower extremities with the itching for the last 12 hours. He also had been having diarrhea for the last 2 days which was loose watery in consistency and yellowish in […]