Case Presentation: A 29-year-old female with history of systemic lupus erythematous (SLE), hypertension, and cirrhosis presented to the ED with altered mental status and generalized weakness for 3 days. Physical exam revealed tachycardia, abdominal distension and tenderness, and weakness of her lower extremities. Labs showed WBC 17.2, total bilirubin 19.8, AST 106, ALT 19, and [...]

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: A 19 year old female presented to the student clinic with fevers up to 103 degrees F recurring daily over a period of weeks. She endorsed diffuse body aches and nausea/vomiting. Two years prior, she was diagnosed with Kikuchi disease, a benign self-limited lymphadenitis, following a lymph node biopsy in Bangladesh. Symptoms at [...]

Case Presentation: A 37-year-old Hispanic female with no medical history presented to the hospital with bilateral lower extremity edema of 3-week duration. Concurrently, she also experienced dysphagia to solids associated with 30-lb weight loss and low-grade fever. Initial examination was significant for bilateral erythematous rash of lower extremities with 3+ pitting edema that extended from [...]

Case Presentation: Systemic Lupus Erythematosus (SLE) is known for its diverse clinical presentations. We present the case of a 41-year-old African American male prisoner with an initial presentation featuring bilateral submandibular, sublingual, and parotid swelling with concurrent facial angioedema and fever. The patient was presumed to have Ludwig’s Angina, yet initial treatment with broad spectrum [...]

Case Presentation: Lupus nephritis (LN) is a clinical manifestation of SLE that can be histologically categorized from class I-VI. One form of LN that is not included in the classification is lupus podocytopathy (LP). LP is a somewhat rare manifestation of SLE associated nephrotic syndrome that mimics minimal change disease (MCD) and is diagnosed via [...]

Case Presentation: Systemic lupus erythematosus (SLE) is an autoimmune disorder of unknown etiology that can involve virtually any organ system. This case highlights the diagnosis of lupus in a severely neutropenic patient, emphasizing the diverse manifestations and associations of the disease. A 39-year-old female presented to the emergency department with a persistent, diffuse maculopapular rash [...]

Case Presentation: A 90 year old female with invasive ductal carcinoma of the breast previously treated with lumpectomy and whole breast radiotherapy, currently on hormonal therapy presented to the hospital with 3 days of confusion, slurred speech, generalized weakness and erythema of the right chest and right lower extremity. Patient denied recent changes in skin [...]