Case Presentation: 64-year-old female is admitted for workup and management of subacute, progressive dyspnea, pleuritic chest pain, dry cough, and new oxygen requirement. History is significant for plaque psoriasis on adalimumab (initiated 3 months prior to presentation), ulcerative colitis status post proctocolectomy, sicca symptoms, Raynaud’s phenomenon, GERD, maternal history of rheumatoid arthritis, and a 50-pack-year [...]

Case Presentation: A 51-year-old man with history of psoriasis presented to the emergency department for abdominal discomfort and distention for 2 weeks, associated with fever, weight loss, night sweats, non-productive cough, and shortness of breath. He previously lived in Mexico and was treated in the past for latent tuberculosis (TB) with 6 months of isoniazid. [...]

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. On physical examination, he had normal cardiorespiratory findings. He had mild nuchal rigidity but an otherwise normal neurologic examination. CT [...]