Session Type
Meeting
Search Results for Vasculitis
Abstract Number: 628
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: FM is a 44 yo black female with a history of mixed connective tissue disorder who presented to the emergency room with worsening pain in her left wrist, facial swelling and worsening ulcers and rash on her face. The rash on her ears and face started 2 days prior. She had been off […]
Abstract Number: 628
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 36-year-old man presented with 10 days of progressive rash that started on his abdomen. The lesions grew, developed a more intense violaceous color, and spread to his lower back, buttocks, forearms and lower legs. The rash spared his upper torso, upper arms, neck, face and palmar/plantar surfaces. He also reported chills, nausea, […]
Abstract Number: 636
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]
Abstract Number: 637
SHM Converge 2021
Case Presentation: An otherwise healthy 21 year old woman presented to an outside hospital with developing headache, confusion, twitching, nausea and vomiting. Workup included an unremarkable head CT with LP consistent with aseptic meningitis. Viral meningoencephalitis was suspected, she improved and was discharged. She had recurrence of intermittent frontal headaches with associated dizziness, bilateral lower […]
Abstract Number: 639
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 60 year old woman with a history of substance abuse and unclassified dementia presented to the emergency department following 2 weeks of acute functional decline and being found unresponsive at home. She had experienced progressive cognitive decline over the prior 2 years, becoming increasingly forgetful and less talkative. She was diagnosed with […]
Abstract Number: 644
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides are systemic autoimmune diseases affecting small blood vessels. The clinical signs and symptoms of ANCA vasculitis are nonspecific and may include multisystem manifestations. As a result, many conditions mimic ANCA-associated vasculitis, making the diagnosis challenging. We report a case of ANCA-positive vasculitis presenting as rapidly progressive glomerulonephritis that was initially […]
Abstract Number: 647
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 19 year-old man presented with two days of non-radiating left testicular pain. He denied associated symptoms or trauma. His past medical and surgical histories were unremarkable. He denied sexual activity and denied use of drugs or alcohol. Family history was negative for rheumatologic conditions and malignancy. Vital signs were normal. He had […]
Abstract Number: 655
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 29 y.o. female with a history of autoimmune hepatitis presented with worsening lower extremities ulceration. The onset of rash was four months ago during which she visited dermatology clinic. Vitals signs were within normal limits, physical examination was consistent with large deep necrotic painful ulceration with violaceous erythema, retiform purpura on bilateral lower […]
Abstract Number: 656
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old Caucasian male with a past medical history of polysubstance abuse, with a preference for cocaine, presented to the emergency department complaining of right groin pain. He was diagnosed with purulent cellulitis and broad spectrum intravenous antibiotics were initiated. Initial blood work found low WBC (3.7 x 103/mcL), with a low neutrophilic […]
Abstract Number: 656
SHM Converge 2024
Case Presentation: A 79-year-old female nonsmoker with chronic bronchiectasis on 3 liters of home oxygen presented with worsening shortness of breath. The patient’s baseline creatinine (cr) was 0.85 mg/dL, eGFR 60, and she was admitted with cr of 2.2 mg/dL. Urinalysis showed proteinuria, pyuria, hematuria with few bacteria, with new onset anemia (Hgb 7.8) on […]