Case Presentation: This is a case of a 22 year old female with history of systemic lupus erythematosus (SLE) complicated by lupus nephritis class III/IV, immune thrombocytopenia, coombs positive anemia, discoid lupus & seizures, who presented to the ED with a 2 week history of feeling “unwell” and a 1 week history of epigastric pain […]

Case Presentation: A 90 year old woman presented with weakness for one month. Atorvastatin 80mg was newly prescribed for a myocardial infarction. On exam proximal muscle strength on all extremities was 3/5. Creatine phosphokinase (CPK) was 4,515U/L with a normal creatinine. The statin was discontinued and intravenous hydration was given. One week later, CPK rose […]