Case Presentation: We present a 52-year-old lady who was referred to the emergency department by her primary care physician for progressively worsening generalized weakness and fatigue. Her symptoms have been gradually worsening over the last three months to the point that she was having difficulty completing her activities of daily living. Associated symptoms included a non-pruritic skin rash that […]

Case Presentation: 51-year-old Hispanic male with past medical history significant for SLE treated with Plaquenil for the past four years and Idiopathic thrombocytopenia (ITP) requiring splenectomy presented with one-week history of hematuria and worsening bilateral flank and abdominal pain. Physical examination revealed petechiae on bilateral lower extremities and edema. Laboratory data was significant for a […]