Case Presentation: 46 year old male with history of hypertension on losartan, gastroesophageal reflux disease on omeprazole and history of gout (not on medications) presents to his primary care provider for a new onset skin rash. Examination revealed a non-pruritic, petechial rash on his anterior chest and upper extremities that started 5 days ago. He [...]

Case Presentation: 59 year old man with hypertension initially presented to the hospital with bleeding, oral lesions. They developed four days prior to presentation. They manifested as bullae which eventually “popped” and bled. Patient had no other associated symptoms, including fever, chills, dizziness, chest pain, dyspnea, or irregular bleeding. He works as a city bus [...]

Case Presentation: A 40 year old recently immigrated Indian male with medical history significant for two episodes of hemorrhagic dengue fever presented with a three day history of epistaxis, gingival bleeding, hematuria, hematochezia and a vesicular rash. On presentation, the physical exam was remarkable for a large mucosal hematoma, gingival bleeding, and diffuse hemorrhagic vesicular [...]