Case Presentation: A 55-year-old man with gastroesophageal reflux disease and prostate cancer status post radical prostatectomy presented with a 3-year history of non-healing skin ulcerations. He was initially diagnosed with vasculitis and started on immunosuppressive therapy. Skin lesions worsened despite high dose steroids and different immunosuppressive medications (methorexate, mycophenolate, azathioprine, cyclophosphamide). On presentation, skin examination [...]

Case Presentation: A 51-year-old male with a history of chronic fentanyl use, smoking (20 pack-years), and occasional alcohol consumption presented with persistent back and flank pain lasting one week. The pain was constant, non-radiating, and accompanied by non-bloody diarrhea. Imaging revealed multiple concerning findings: a large lytic lesion in the right frontal skull (1.9 x [...]