Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for [...]

Case Presentation: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 [...]

Case Presentation: 63-year-old male with history of hypertension (HTN) on Lisinopril, with recent addition of hydrochlorothiazide (HCTZ) for uncontrolled HTN a week prior to presentation. He presented with dark color urine, nausea, constipation reported to have ensued a week after HCTZ was added to his regimen. He denied IV drug, alcohol, acetaminophen or any over [...]

Case Presentation: A 38 year old woman with a history of alcohol use disorder was admitted with a month of gradually progressive weakness of the legs. She then developed shoulder girdle weakness, and eventually weakness, tingling, and numbness of the hands and feet. The day prior to her presentation, she developed dysarthria, shortness of breath, [...]

Case Presentation: Autoimmune myopathies are rare diseases, with a prevalence of just 9–14 cases per 100,000 people and only about 10% of these have Immune-mediated necrotizing myopathy (IMNM). Instead of muscle biopsy, recent guidelines describe IMNM based on antibodies. Here we present a case of Anti-SRP myopathy, a rare subtype of IMNM.This is a case [...]

Case Presentation: 72 years old Caucasian male presented to the hospital with the complaint of generalized maculopapular rash involving the chest and bilateral upper and lower extremities with the itching for the last 12 hours. He also had been having diarrhea for the last 2 days which was loose watery in consistency and yellowish in [...]