Case Presentation: A 41 years-old Scottish male patient with a past medical history significant for erectile dysfunction, prior EBV infection, hyperlipidemia, umbilical hernia, and urethral meatal stenosis was referred by his PCP to rheumatology for oral thrush and recurrent oral ulcers for 3 years. The patient was initially seen by an Infectious disease doctor who [...]

Case Presentation: A 63-year-old man was admitted to the hospital medicine service at a quaternary center for painful oral lesions that appeared 6 months prior. The lesions had started as multifocal soreness in the mouth floor 2 weeks after having undergone dental work. He was then evaluated by local oral surgery team who performed biopsies [...]

Case Presentation: A 56-year-old male with type II diabetes presented to the hospital with 3 weeks of oral ulcers involving the left buccal region with spread to the palate and tongue. He also reported odynophagia, poor oral intake, and 40-lb weight loss. He had not responded to outpatient amoxicillin, fluconazole, and nystatin swish and swallow. [...]

Case Presentation: A 48-year-old man with end-stage renal disease due to IgA nephropathy underwent a deceased donor kidney transplant in 2008, which resulted in graft failure. A second transplant in 2019 required additional thymoglobulin due to high panel reactive antibodies and was complicated by BK nephritis, treated with leflunomide. Since treatment, he had persistent leukopenia, [...]