Case Presentation: 64-year-old female with non-insulin-dependent type 2 diabetes mellitus presented to the emergency room with a 2-week history of progressive pain and swelling of her left index finger. Prior outpatient evaluation with X-rays and MRI resulted negative, and a Cortisone injection and anti-inflammatories provided no relief. She reported difficulty moving her finger, increased warmth [...]

Case Presentation: A 49-year-old healthy man presented to the emergency department with a two-year history of left inguinal pain that had been increasing in frequency and severity, to the point where he experienced difficulty with ambulation. He denied fevers, chills, weight loss, weakness or numbness in the extremity. Physical exam revealed a palpable left groin [...]

Case Presentation: A 71-year-old male with a medical history of type 2 diabetes and hypothyroidism presented with six months duration of intermittent pain, swelling, numbness and tingling of his hands. He was previously diagnosed with carpal tunnel syndrome and had carpal tunnel release of his left wrist five months prior to presentation; however, the swelling [...]

Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of [...]

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, [...]

Case Presentation: A 66-year-old male presents as an urgent new patient evaluation to rheumatology with new complaints of abrupt bilateral hand and foot swelling for six weeks with difficulty flexing fingers and toes. The swelling remained constant throughout the day, not improving with activity or rest. The patient was recently seen by his primary doctor [...]