Case Presentation: A 45-year-old male with a past medical history of Myelodysplastic Syndrome, Atrial Fibrillation, and Type 2 Diabetes presented for evaluation of worsening diffuse, erythematous, and painful rash all over his body. The rash initially began 2 months ago and was biopsied at an outside hospital. The biopsy was read as a “dermal hypersensitivity [...]

Case Presentation: A 64-year-old woman with a history of ankylosing spondylitis, Crohn’s disease, asthma, and prior diagnosis of drug-induced lupus presents for a diffuse pruritic rash. Six days prior, she developed a single flat violaceous lesion limited to her left jaw and urticaria on her chest. She was started on prednisone 60 mg by her [...]

Case Presentation: A 60-year-old, Guatemalan female without prior medical history presented with a transient, erythematous, burning, rash involving her extremities and torso (Figure 1). Additional symptoms included fatigue, chills, joint pain, early satiety and weight loss. Blood counts, metabolic panel and serum protein electrophoresis were normal. C-reactive protein (13 mg/L, normal (N)

Case Presentation: A 44-year man with history notable for illicit drug use (amphetamine, cocaine), poorly controlled HIV (CD4 count 387, HIV quantitative PCR with a viral load of 188,000) and anaphylaxis with penicillin use presented with a 1-day history of sore throat along with a 1-month history of a warm, diffuse, symmetric, non-pruritic, non-vesicular, maculopapular [...]

Case Presentation: A 41-year-old Hispanic woman with a past medical history of intractable trigeminal neuralgia and recurrent admissions for associated facial and airway swelling requiring intubation presented with acute onset of severe facial and tongue swelling, dyspnea, and neuropathic facial pain, similar to prior flare-up episodes. A pruritic rash on the chest and bilateral hand [...]

Case Presentation: A 24-year-old man with a history of relapsing juvenile dermatomyositis inactive for five years presented with one week of anosmia, dysgeusia, and rash. He also had fatigue and myalgias but no fevers, cough, or dyspnea. His exam was notable for a diffuse maculopapular rash with occasional crusted papules on the proximal upper and [...]

Case Presentation: A 60-year-old woman with past medical history of Systemic Lupus Erythematous (SLE) on daily mycophenolate mofetil and hydroxychloroquine, Antiphospholipid Syndrome on warfarin, history of aneurysm s/p clipping and diabetes presented to an urgent care clinic due to severe headache and dizziness. During examination, she was noted to have hesitancy with neck flexion, prompting [...]

Case Presentation: Mr. B.R. is a 60 year-old man with a past medical history of coronary artery disease and alcoholic cirrhosis who presented with acute onset abdominal and bilateral lower extremity rash. The rash became increasingly erythematous, pruritic and painful within the course of a few days. Patient denied having fever, chills, or body aches. [...]

Case Presentation: 68-year-old white female presented with upper respiratory tract symptoms which progressed to cough in 4 days and she was found to have a right lower lobe pneumonia. Her sputum culture revealed MSSA (Methicillin Susceptible Staphylococcus Aureus) and she was treated with ceftriaxone and azithromycin. But her pneumonia worsened and she developed parapneumonic effusion, [...]

Case Presentation: A 57-year-old male presents with a morbilliform rash on his extremities, trunk, and back. One week prior, he started sulfamethoxazole/trimethoprim for cellulitis. On his sixth day of treatment, the patient became acutely febrile to 102°F, with rash eruption one day later. Therefore, he presented to the hospital for further evaluation. On arrival, he [...]