Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US [...]

Case Presentation: A 43 year-old-woman with no known medical history presented with two months intermittent fever, cough, pleurisy, hematuria, and weight loss. On exam she had diffuse crackles and lower extremity edema. The patient was intubated for respiratory distress. Laboratory workup revealed acute anemia and urinalysis consistent with nephritic syndrome. Chest x-ray showed bilateral diffuse [...]

Case Presentation: A 31-year-old woman, G2P1A0, 32 weeks pregnant, with a history of systemic lupus erythematosus (SLE), presented with a gradual onset of worsening abdominal wall, genitalia, and bilateral lower extremity swelling. Upon admission, the workup revealed nephrotic-range proteinuria, normal renal function, and elevated anti-dsDNA. A lower extremity ultrasound showed no evidence of deep vein [...]

Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have severe anemia (5.4 mg/dl), thrombocytopenia (52,000/mm3), elevated LDH (829), low haptoglobin (<8), hypocomplentemia (low C3 and C4), schistocytes on peripheral [...]

Case Presentation: Introduction:Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that most commonly affects younger women. Late onset SLE is relatively rare and represents a specific subgroup. Laryngeal involvement in SLE is uncommon and has a wide range of disease severity. Case: A 68 year old female patient with history of diabetes mellitus type [...]

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: 17 year old female with no medical history presented with malaise. Labs were WBC 3.78 with normal differential, a microcytic anemia 7.1, platelets 7, and uric acid 10.6. On admission, she was found to have epistaxis, conjunctival hemorrhage, and hemoptysis. She required escalation to high flow nasal cannula. Chest x-ray was concerning for [...]

Case Presentation: A 24-year-old Hispanic male with morbid obesity, hypertension, hyperlipidemia, and class IV/V lupus nephritis on immunosuppressive therapy presented with a one-week history of progressive pain, erythema, and swelling in the lower abdomen and extremities. Symptoms included fever, shortness of breath, and diarrhea. Physical examination revealed a tender, erythematous rash with violaceous discoloration over [...]

Case Presentation: A 26-year-old female with a past medical history of idiopathic thrombocytopenic purpura (ITP) presented to the hospital with a two-month history of progressive abdominal distension and nausea. On physical examination, she had decreased breath sounds at the bilateral lung bases and massive ascites. Laboratory tests revealed normocytic anemia, mild hyponatremia, slightly elevated creatinine [...]

Case Presentation: A 26-year-old male presented to the ED with a 2 day history of shortness of breath, bilateral lower extremity edema, wet cough, and orthopnea. He reported a viral upper respiratory illness 1 prior, which resolved within 5 days with symptomatic management using Nyquil. On arrival, he was visibly dyspneic with vital signs showing [...]