Case Presentation: We present an unusual case of a previously healthy patient presenting with a demyelinating polyneuropathy, which was determined to be the initial presentation of systemic lupus erythematosus (SLE).This was a 36 year-old female with an unremarkable past medical history who presented with leg weakness that progressively spread to her arms with associated tingling [...]

Case Presentation: A 29-year-old female with history of systemic lupus erythematous (SLE), hypertension, and cirrhosis presented to the ED with altered mental status and generalized weakness for 3 days. Physical exam revealed tachycardia, abdominal distension and tenderness, and weakness of her lower extremities. Labs showed WBC 17.2, total bilirubin 19.8, AST 106, ALT 19, and [...]

Case Presentation: A 32-year-old African American male with no past history presented to our hospital with paresthesias, joint pain, and leg swelling of a few weeks’ duration. On examination, fever, tachycardia, maculopapular rash involving both arms, swelling & tenderness in bilateral knee & ankle joints, and pitting edema in bilateral lower extremities were noted. Testing [...]

Case Presentation: An 11-year-old boy with a history of mesenteric adenitis and appendectomy presented for abdominal pain two days after bruising his left flank by running into a countertop. ROS was positive for a new rash on the soles of his feet, recently noticed bubbles in urine, headache, and nausea, but negative for facial rash, [...]