Case Presentation: 62-year-old female patient with a past medical history of psoriasis (patient was on Adalimumab for three years, then switched to Ixekizumab around eight months before current presentation), gastroesophageal reflux disease, anxiety, hyperlipidemia, and a remote history of smoking in her twenties, who presented with progressive shortness of breath of five days duration. She […]

Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs […]

Case Presentation: A 35-year-old female with tobacco use disorder presented to the emergency department with three months of recurrent fevers, non-productive cough, and dyspnea on exertion. She was initially seen by her primary care physician for these symptoms in the context of multiple sick contacts and was treated empirically for streptococcal pharyngitis with amoxicillin. Due […]