Case Presentation: A 62-year-old man with a history of hypertension, hyperlipidemia, and melanoma presented to our tertiary care hospital from an outside institution with 3-4 weeks of rapidly progressive skin nodules, a 10 pound weight loss, and diffuse joint aches. The nodules were of varying sizes, first appearing along his clavicle and progressively spreading throughout [...]

Case Presentation: A 48-year-old female with tyrosine kinase inhibitor-resistant CML on hydroxyurea therapy admitted with 3 weeks of fever, skin redness, and swelling. Her physical examination was remarkable for the temperature of 100.1 F, localized skin erythema, and tenderness around left antecubital fossa. Her labs revealed WBC of 80,000/ mm3 with 7% blast cells which [...]

Case Presentation: A 61-year-old man presented to his primary care provider’s office but could not recall reason for his visit. Over the past year, there had been numerous instances of similar forgetfulness, oftentimes upon completing routine activity without additional symptomatology. Medical history was notable for factor V Leiden, hypothyroidism, and transient ischemic attacks. Physical examination [...]

Case Presentation: A 46 year-old man presents with one week of intermittent headaches. The pain started in his neck and radiated to the eyes. There was associated nausea and vomiting. On the day of admission, he experienced visual hallucinations prompting him to seek medical care. Further history revealed he was diagnosed with CML last year [...]

Case Presentation: A 21-year-old male with no significant medical history presented with complaints of diplopia of three-week duration which resolved after treatment with steroids. After the initial encounter, patient presented with one week history of left sided facial droop indicative of facial nerve palsy. Extensive neurological work-up including lumbar puncture and imaging were unrevealing, which [...]

Case Presentation: A 20 year old male with past medical history significant for chronic phase CML, diagnosed approximately 1 year prior to admission, presents for evaluation of worsening right leg pain over the past 2-3 months. At the time of diagnosis of CML, he was started on Imatinib and shortly after developed diffuse bone pain. [...]

Case Presentation: A 62-year-old female with a history of polycythemia vera presented to urgent care with swelling, redness, and pain over her right foot and ankle. She denied any trauma or insect bites. She was diagnosed with cellulitis and treated with intravenous Ceftriaxone for 3 days with minimal improvement. She continued therapy with oral Cefpodoxime, [...]

Case Presentation: A 59 year old man with no past history presented with continuous gingival bleeding for 3 days. He underwent dental cleaning and tooth extraction 3 days prior and since then had been having bleeding from the extraction site associated with headache and dizziness. On presentation blood pressure 110/70mmHg, pulse 105/min, temperature 98F, respiratory [...]

Case Presentation: A 21-year-old woman was referred to the hematology clinic for further workup for thrombocytosis which was found upon evaluation for vasovagal syncope. The patient was asymptomatic with no pertinent past medical or family history. Upon presentation, the patient was vitally stable and physical examination was normal. Labs were relevant for a white blood [...]

Case Presentation: A 36-year-old African American male, with accelerated phase Philadelphia chromosome positive CML  on dasatinib, presented to a community hospital with abdominal pain, distention, and melenic stools 10 days after being discharged.  During the previous admission, he received treatment for recurrent upper gastrointestinal (GI) hemorrhage due to a 1cm duodenal bulb ulcer with underlying [...]