Case Presentation: A 14-year-old female with a one-month history of iron-deficiency anemia due to menorrhagia presented to the emergency room for weakness and dizziness. She was found to have a hemoglobin of 3.7 g/dL in the setting of her menstrual cycle. Menarche began at age 13 and has gradually become longer and heavier. Most recent [...]

Case Presentation: A 37-year-old female with systemic lupus erythematosus (SLE), noncompliant with mycophenolate mofetil (MMF) and hydroxychloroquine, complicated by Class V membranous lupus nephritis and cirrhosis due to autoimmune hepatitis, presented with generalized weakness and altered mentation. This followed a recent admission for methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia and acute kidney failure requiring hemodialysis (HD), [...]

Case Presentation: A 25-year-old female with a history of Systemic Lupus Erythematosus (SLE), lupus nephritis, cardiomyopathy, transient ischemic attack, and epilepsy presented as an ICU transfer for Altered Mental Status (AMS). The patient initially presented to an outside hospital for this complaint, which was attributed to seizures. Her course was complicated by severe hypotension, again [...]

Case Presentation: Systemic lupus erythematosus (SLE) is an autoimmune disorder of unknown etiology that can involve virtually any organ system. This case highlights the diagnosis of lupus in a severely neutropenic patient, emphasizing the diverse manifestations and associations of the disease. A 39-year-old female presented to the emergency department with a persistent, diffuse maculopapular rash [...]

Case Presentation: A 42-year-old female with past medical history of systemic lupus erythematosus (SLE) presented to the emergency department with two days of severe polyarthritis in her left wrist, right knee, and lower back. On admission, physical exam was notable for joint swelling and limited range of motion in the wrists, elbows, and knees. Bilateral [...]

Case Presentation: A 22-year-old female with a history of immune thrombocytopenia (ITP) and asthma presented with fever, altered mental status, and bilateral lower extremity petechiae. She was previously taking hydroxychloroquine daily for ITP but discontinued it on her own eight months prior. She denied any new medications, recent animal exposures, insect bites, trauma, or recent [...]

Case Presentation: A 29-year-old Black female presented with abdominal pain, nausea, vomiting, and diarrhea. Her history was notable for a hospitalization three months prior for Streptococcus pneumoniae meningitis with associated septic arthritis of the hip requiring long term antibiotics. On examination she was afebrile with reassuring vital signs. Her abdomen was distended with notable diffuse [...]