Case Presentation: A 47-year-old female with history of gastric bypass complicated by dumping syndrome, opioid use disorder on methadone, alcohol use disorder, migraines, and seizures presented with 3 weeks of painful bilateral lower extremity swelling, and 2 months of poor oral intake with persistent diarrhea. Her exam was also notable for tooth fragility, course hair, [...]

Case Presentation: A 46-year-old male with PMHx of alcohol use disorder and a partial gastrectomy (Roux-en-Y, vagotomy, paraoesophageal hernia repair) over 10 years prior who presented with a rash extending bilaterally from the elbows to extremities and trunk with the presence of bullae and skin sloughing. Labs were notable for hemoglobin of 6.8 g/dL, thrombocytopenia, [...]