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Abstract Number: 379

DOUBLE TROUBLE: CONCURRENT LUPUS MYOCARDITIS AND NEPHRITIS IN A YOUNG PATIENT

SHM Converge 2026

Case Presentation: A 19-year-old male with no significant past medical history presented with a three-week history of fever, fatigue, arthralgias, and new-onset left-sided sharp chest pain. The pain was constant, non-radiating, pleuritic, worse when supine, and associated with shortness of breath. He denied prior cardiac disease or family history of coronary artery disease. A malar [...]

Abstract Number: 380

WHEN BLOOD PRESSURE BREAKS THE BODY: CHRONIC TMA HIDDEN BENEATH MALIGNANT HYPERTENSION

SHM Converge 2026

Case Presentation: A 33-year-old woman with stage 4 CKD, uncontrolled hypertension, obesity status post lap banding, and medication nonadherence presented with two days of worsening dyspnea, orthopnea, and PND. She denied chest pain or infectious symptoms but had missed antihypertensives for a week. Her blood pressure was 246/166 mmHg, and she was hypoxic. Chest X-ray [...]

Abstract Number: 381

WHEN EOSINOPHILS ATTACK: A RARE PULMONARY MANIFESTATION OF EOSINOPHILIC GRANULOMATOSIS WITH POLYANGITIS

SHM Converge 2026

Case Presentation: An 80-year-old male with past medical history of angiosarcoma of the scalp status-post resection, presented for a right lung biopsy for an incidental pulmonary nodule. However, a CT chest performed prior to the procedure revealed a new hydropneumothorax. The patient reported symptoms of a productive cough with intermittent hemoptysis, along with an unintentional [...]

Abstract Number: 382

A LONE STAR ENIGMA: BLASTOMYCOSIS MENINGOENCEPHALOMYELITIS AFTER ENVIRONMENTAL EXPOSURES IN TEXAS

SHM Converge 2026

Case Presentation: A 72 y/o woman with hypertension and type 2 diabetes developed intermittent headaches, diplopia, ataxia, and confusion after participating in a Native American sweat lodge ritual in an enclosed tent. She lived on a farm, did frequent bush hogging; had not traveled outside of Texas in the last decade. Initial CT head was [...]

Abstract Number: 383

DOUBLE TROUBLE: DRESS VS EOSINOPHILIC GRANULOMATOSIS IN A DIAGNOSTIC DILEMMA

SHM Converge 2026

Case Presentation: A 53-year-old white male with the past medical history of psoriasis presented with purpuric rash on bilateral lower extremities for 4 days and numbness in the right foot. Within days of initiating Bactrim, he developed progressive rash involving upper extremities. He also started Tamsulosin for urinary retention. Rash was non-pruritic purpuric coalescing papules [...]

Abstract Number: 384

UNMASKING THE HIDDEN CULPRIT: CARDIAC AMYLOIDOSIS AS A CAUSE OF CHRONIC DYSPNEA

SHM Converge 2026

Case Presentation: A 77-year-old male with a history of paroxysmal atrial fibrillation s/p two ablations, hypertension, hyperlipidemia, type 2 diabetes mellitus, heart failure with preserved ejection fraction (HFpEF), and obstructive sleep apnea presented with chronic exertional dyspnea persisting for approximately one year.During this period, he was seen in the cardiology clinic and hospitalized for atrial [...]

Abstract Number: 385

THE RECURRENT PAIN PUZZLE: DECODING ACUTE INTERMITTENT PORPHYRIA

SHM Converge 2026

Case Presentation: A 77-year-old woman of German descent with past medical history of breast cancer, factor V leiden, pulmonary embolism, deep vein thrombosis, atrial fibrillation and fibromyalgia who presented after recurrent hospitalizations with complaints of debilitating fatigue, bilateral lower extremity weakness, abdominal pain and nausea. During this hospitalization, she also complained of passage of dark [...]

Abstract Number: 386

A RARE CASE OF NON-KETOTIC HYPERGLYCEMIC HEMICHOREA

SHM Converge 2026

Case Presentation: Nonketotic Hyperglycemic Chorea (NHC) is a rare neurological complication associated with uncontrolled diabetes mellitus, characterized by involuntary, irregular movements typically affecting one side of the body. This condition primarily affects elderly females of East Asian descent, with an estimated prevalence of less than 1 in 100,000 2, 3. Clinical presentation includes acute or [...]

Abstract Number: 387

AN ATYPICAL PRESENTATION: WEST NILE ENCEPHALITIS IMITATING AS VESTIBULAR NEURITIS, UNFOLDING INTO GUILLAIN BARRE SYNDROME

SHM Converge 2026

Case Presentation: A 73-year-old male presented with three days of vertigo, headache, tinnitus and vomiting, following recent exposure to a viral upper respiratory tract infection. Initial imaging was unremarkable, and laboratory studies showed mild thrombocytopenia. By day three, he developed fever, confusion, and respiratory failure requiring ICU admission and intubation. Lumber puncture resulted in White [...]

Abstract Number: 388

THE UNINTENDED CONSEQUENCE: T-CELL LYMPHOMA OF THE SMALL INTESTINE FOLLOWING CAR-T CELL THERAPY

SHM Converge 2026

Case Presentation: A 55-year-old woman with multiple myeloma diagnosed 8 years before presentation and refractory to multiple lines of therapy (including intensive immuno-chemotherapy and autologous stem cell transplant (2021/2022), achieved complete remission after CAR-T therapy, received December of 2024. Three months later, patient developed persistent high-volume watery diarrhea (5–6 episodes/day) with > 40lb weight-loss and [...]

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