Case Presentation: A 17 y.o. female with systemic lupus erythematosus (SLE) presented with several weeks of worsening migratory polyarthralgia, as well as sporadic fevers, night sweats, and chills. Prednisone was begun 3 weeks prior for a presumed SLE flare, given elevated anti double-stranded DNA (anti-dsDNA) and erythrocyte sedimentation rate (ESR) and hematuria, but provided no [...]

Case Presentation: A 30-year-old woman was presented with two days progressive swelling and pain of her right hand after blunt trauma. The pain was associated with paresthesia of the right thumb and fever. There was no associated vaginal discharge, joint pain, sore throat or skin rash. Past medical history was significant for uncontrolled diabetes. The [...]

Case Presentation: INTRODUCTION: Disseminated gonococcal infection presents as either purulent monoarticular arthritis or as tenosynovitis, migratory polyarthralgia and vesiculopustular rash in young sexually active adults. We present an unusual case of disseminated gonococcal infection presenting as petechial rash, tenosynovitis and polyarthralgia with hypocomplementemia in a middle woman.CASE PRESENTATION: 46 years old woman medical history of [...]

Case Presentation: A 52-year-old female with discoid lupus on immunosuppressive medications and a history of gout presented with acute right wrist pain and swelling and subjective fevers. There was no history of trauma or other joint involvement. Notable examination findings include significant swelling of the right wrist without overlying erythema or induration. She was noted [...]