Case Presentation: A fifty year old female with no significant past medical history presented with one year of acute on chronic bilateral periorbital swelling and twenty pound unintentional weight loss. She also complained of xerostomia and keratoconjunctivitis sicca. Review of systems was positive for intermittent nausea, vomiting, abdominal pain, pruritis, and neck swelling. The patient [...]

Case Presentation: A 37 year old male with a history of asthma presented with a three day history of acute onset left upper quadrant (LUQ) abdominal pain, worse after meals and associated with nausea. He had no history of cholelithiasis, alcohol abuse or trauma. Vital signs on admission were in normal range. Exam revealed LUQ [...]

Case Presentation: 33 yo Caucasian female with a PMH of Graves’ thyrotoxicosis and recurrent acute pancreatitis was admitted for suspected pancreatitis. She presented with acute onset epigastric pain radiating to back. She denied any associated symptoms. Exam showed yellowish discoloration of skin and epigastric tenderness. Recent ultrasound was negative for cholelithiasis or gallbladder wall thickening [...]

Case Presentation: A 68-year-old male with history of IgG4-related autoimmune pancreatitis presented to the Emergency Department with a one-month history of generalized weakness and a 25 lb unintentional weight loss over the past three months. Labs were notable for elevated lactate (3.4 mmol/L), new thrombocytopenia (platelets 29 ×10^9/L), and a stage II acute kidney injury [...]