Case Presentation: A 76-year-old woman complaining with generalized edema underwent CT at a local hospital. It revealed diffuse subcutaneous edema and infiltration in pelvic area and both lower extremities and enlarged inguinal lymph nodes. She admitted our hospital for further evaluation. On physical examination, her vital sign was stable except high blood pressure of 172/88 [...]

Case Presentation: Acquired thrombotic thrombocytopenic purpura (TTP) is a rare antibody-mediated thrombotic microangiopathy that requires prompt identification and treatment. We present the case of a 32-year-old female with a history of systemic lupus erythematosus, asthma, augmentation mastopexy (11 years prior), and an antecedent episode of TTP following silicone breast implant placement who presented with back [...]

Case Presentation: A 44-year-old African American male with a medical history of human immunodeficiency virus (HIV) and chronic kidney disease (CKD) presented to the hospital with nonspecific complaints, including flank pain. Initial laboratory tests and imaging studies confirmed a diagnosis of nephrolithiasis and acute kidney injury with concomitant hypercalcemia. The patient was hospitalized and treated [...]

Case Presentation: A 62 year old female with a history of vitiligo, remote bilateral silicone breast implantation, and latent tuberculosis presented with 3 months of B-symptoms, weight loss, and polyarthalgias attributed to a new diagnosis of rheumatoid arthritis. Physical exam was significant for diffuse tender lymphadenopathy most notably at the supraclavicular nodes and a fixed [...]