Case Presentation: A 14-year-old male presented to an emergency department with 6 days of left thigh pain and inability to bear weight following a fall from bed. Associated symptoms included nausea, diaphoresis and weakness. Review of systems revealed pallor, easy bruising and yellow eyes. history was negative except for developmental delay, described as auditory processing [...]

Case Presentation: A 14-year-old male with autism spectrum disorder presented with history of 5 days of refusal to move and imbalance for 2 days, following diarrheal illness two weeks prior. On admission, he was tachycardic and hypertensive with dry mucous membranes. His neurologic exam was limited by agitation but demonstrated symmetric facies and 5/5 strength [...]

Case Presentation: A 2 year old male with expressive language delay presented with worsening ability to bear weight. The child progressed from refusing to ambulate to refusing to stand over the course of 1.5 weeks. There was parental concern for leg pain which did not improve with ibuprofen. He had mildly decreased appetite the preceding [...]

Case Presentation: A 15-year-old male with autism spectrum disorder (ASD), depression, and anxiety presented to the emergency department (ED) with aphasia, agitation, and unusual gait. His mother reported stuttering, decreased oral intake, and difficulty with daily activities. He visited the ED for similar symptoms over the past few months. His outpatient provider trialed lorazepam, which [...]

Case Presentation: A four-year-old boy with a history of non-verbal autism was admitted with one week of progressive bilateral lower extremity weakness and pain. Past history was significant for a diarrheal illness 1 month prior. Exam findings included poor dental hygiene, gingival hypertrophy with ecchymosis and bleeding, intact reflexes and 3/5 lower extremity strength. Labs [...]

Case Presentation: An 11 year old male with nonverbal autism, complex partial epilepsy, and repaired coarctation of the aorta presented with failure to bear weight, rash, and easy bruising. Family history was positive for rheumatoid arthritis. The patient’s diet was limited due to food selectivity. Physical exam was significant for bilateral hip pain and petechiae [...]