Case Presentation: Diabetic myonecrosis is a rare and under-recognized disorder observed in poorly controlled long-standing diabetes mellitus (1). Typical presentation includes acute pain and swelling of the affected muscle group in the absence of local injury due to spontaneous ischemic necrosis of the skeletal muscles. We present a case of a 48-year old female with [...]

Case Presentation: A 51-year-old Caucasian male presented for evaluation of worsening lower extremity muscle weakness and associated myalgias. He received a diagnosis of NAM after three months of progressive proximal, symmetric upper and lower extremity weakness with myalgias, and an initial creatinine kinase (CK) of 13,875 IU/L. He had been on Atorvastatin 40 mg for [...]

Case Presentation: 62-year-old male with GERD, ESRD on hemodialysis (HD) presented to the hospital in 2021 with a chief complaint of bilateral lower extremity swelling and difficulty ambulating though a chronic problem, symptoms worsened a few days prior to hospitalization. Patient also complained of myalgias bilateral lower extremities. Patient was hemodynamically stable and afebrile. Labs [...]

Case Presentation: A morbidly obese 61-year-old man with coronary artery disease presented for evaluation of exertional dyspnea. No chest pain was reported. Transthoracic echocardiogram and pulmonary function tests were normal, but his dyspnea persisted. Lifestyle modifications and inhaler trials failed to improve his dyspnea. Left and right coronary angiography were completed. A 90% stenosis of [...]