Case Presentation: A 38-year-old male dentist presented with several days of bilateral lower extremity rash and migratory large joint arthritis in the setting of fevers, myalgias, and a recent viral illness in his 3-year-old daughter. His medical history included remote testicular cancer post-orchiectomy. He was referred by his primary care provider who noted bilateral (right [...]

Case Presentation: A 37-year-old Hispanic female with no medical history presented to the hospital with bilateral lower extremity edema of 3-week duration. Concurrently, she also experienced dysphagia to solids associated with 30-lb weight loss and low-grade fever. Initial examination was significant for bilateral erythematous rash of lower extremities with 3+ pitting edema that extended from [...]

Case Presentation: JT is a 26-year-old incarcerated male with no past medical history that presented to the hospital from a prison unit in Southwest Texas. He endorsed a 1-week history of dry cough, fever of 103F, chills, joint pain, and a painful rash on his legs. He denied any recent sick contacts, IV drug use, [...]

Case Presentation: A 57 year-old Japanese female with no significant past medical history presented with fever, productive cough and swelling of right ankle for seven days. She lived with her grandchild and her son. Her grandchild had fever and rash three weeks ago, diagnosed with hand foot and mouth disease. Her son had elevated hepatic [...]

Case Presentation: A 40-year-old Hispanic male with a history of heart failure, hypothyroidism, and pre-diabetes was admitted for a warm, itchy, and painful rash on his extremities, accompanied by swelling in his upper limbs. He also experienced joint pain and stiffness in his elbows, knees, ankles, wrists, and back, without fever. Examination revealed pink, warm, [...]