Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was [...]

Case Presentation: 64-year-old female with a past medical history of cerebral palsy presented with recurrent fever. One week earlier, she had been hospitalized for sialadenitis and pneumonia and completed a 10 day course of antibiotics. Family reported recurrent fevers (Tm 102F) after discharge with associated mucosal ulcerations and chronic intermittent joint pain. She did not [...]

Case Presentation: A 51year-old female presented with one week of worsening pain and malodorous drainage from a chronic breast wound. Her PMH included HTN induced ESRD on HD. Her wound started 6 months ago as a red rash that grew in size and became tender and ulcerative. Work up thus far included imaging such as [...]

Case Presentation: Anti-melanoma differentiation-associated gene 5 dermatomyositis (MDA5-DM) is a subset of amyopathic dermatomyositis that may present with oral ulcerations, painful palmar papules, arthritis, and panniculitis.1 Unique characteristics of MDA5-DM versus other types of dermatomyositis include a higher incidence of interstitial lung disease (ILD), lower incidence of myositis, and a higher rate of morality. MDA5-DM [...]