Case Presentation: A 42 year old female who was previously healthy presented to hospital for evaluation of rash. The rash had appeared 5 days prior and was pruritic in nature. The rash began on the patient’s chest and face and spread to the rest of her torso and extremities. The rash began as purpuric papules [...]

Case Presentation: Good’s syndrome (GS) is a rare, adult-onset combined B and T cell immunodeficiency with an associated thymoma. These patients have an increased risk of bacterial, fungal, viral, and opportunistic infections. A 75-year-old African American female with congestive heart failure (ejection fraction 20%) and hypertension presented from home with a four-month history of fatigue, [...]

Case Presentation: NA is a 24 yo African American female who presented with severe oral and genital ulcers with pain and inability to eat or speak. She started getting oral ulcers at age 4 with flares every 3 months, resolving quickly after prednisone. Her genital ulcers started at age 12, but were not as frequent [...]

Case Presentation: A 38-year-old female with a past medical history of non-insulin dependent type 2 diabetes, HSV-2, and vitamin D deficiency presented to the emergency department for evaluation of a finger lesion. It was located on her left lateral index finger near the PIP joint with associated growth and scant drainage over the last two [...]

Case Presentation: A 90-year female with a recent onset of vancomycin induced hypersensitivity reaction presents to the ED with sepsis and generalized disseminated rash. She recently underwent a surgery that was complicated with pseudomonas infection and was treated with vancomycin and Zosyn. However, she developed a pruritic, erythematous macular rash on her abdomen and vancomycin [...]