Vasculitis

/Tag:Vasculitis

A BIG HEADACHE: HYPERTENSIVE URGENCY AND LARGE VESSEL VASCULITIS IN AN ADOLESCENT

Case Presentation: A previously healthy sixteen-year old Japanese-American female presented to her primary care provider following one week of frontal headache, dizziness, and a feeling of “floating while walking.” Exam revealed upper extremity blood pressure [...]

By | 2019-03-11T14:28:05+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on A BIG HEADACHE: HYPERTENSIVE URGENCY AND LARGE VESSEL VASCULITIS IN AN ADOLESCENT

A CASE OF PRIMARY ANGIITIS OF THE CNS

Case Presentation: A 58-year-old right-handed, nonsmoker, otherwise healthy male presented with episodes of vertigo and slurred speech. Vital signs were within normal range and his initial labs were noncontributory. Imaging revealed multifocal acute and subacute [...]

By | 2019-03-11T14:43:52+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A CASE OF PRIMARY ANGIITIS OF THE CNS

A RARE CASE OF STAPHYLOCOCCAL-ASSOCIATED GLOMERULONEPHRITIS

Case Presentation: A 71 year old Caucasian man with uncontrolled diabetes mellitus, stage III chronic kidney disease, hypertension, hyperlipidemia, sick sinus syndrome, and osteomyelitis of the right 2nd metatarsal s/p amputation, was transferred from an [...]

By | 2019-03-11T14:39:36+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A RARE CASE OF STAPHYLOCOCCAL-ASSOCIATED GLOMERULONEPHRITIS

A RARE CASE OF VASCULITIS-ASSOCIATED CVA IN AN ADULT PATIENT WITH HENOCH-SCHONLEIN PURPURA

Case Presentation: A 64 year-old male with a past medical history significant for COPD presented with fever, abdominal pain and rash. Patient endorsed fever and chills for 2 weeks prior to inpatient hospitalization. Patient subsequently [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A RARE CASE OF VASCULITIS-ASSOCIATED CVA IN AN ADULT PATIENT WITH HENOCH-SCHONLEIN PURPURA

ASPERGILLUS ON MY MIND

Case Presentation: A 43-year-old man presented with a few days history of confusion and new-onset fecal and urinary incontinence. By day 5, he developed a deep comatose state. His other medical history included schizoaffective disorder, [...]

By | 2018-03-19T12:58:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on ASPERGILLUS ON MY MIND

Cutaneous Leukocytoclastic Vasculitis associated with Methimazole

Case Presentation: Anti-thyroid Drugs (ATD) such as propilthiourcil (PTU) and methimazole (MTM) can cause a number of systemic changes such as fever, rash, and respiratory symptoms (from epistaxis to diffuse alveolar hemorrhage). Guidelines almost always [...]

By | 2018-03-19T13:18:04+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on Cutaneous Leukocytoclastic Vasculitis associated with Methimazole

DOC, I CANNOT HEAR! A RARE CAUSE OF SUDDEN HEARING LOSS IN A YOUNG WOMAN.

Case Presentation: 27-year-old African American woman with no medical history presented with one day of sudden onset bilateral hearing loss and tinnitus. Review of systems was positive for red eyes, blurred vision, photophobia and gait [...]

By | 2018-03-22T15:50:13+00:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Posters, Hospital Medicine 2018|Comments Off on DOC, I CANNOT HEAR! A RARE CAUSE OF SUDDEN HEARING LOSS IN A YOUNG WOMAN.

DON’T GET TOO CHILLY WITH HEPATITIS C: CRYOGLOBULINEMIC LEUKOCYTOCLASTIC VASCULITIS

Case Presentation: A 54-year-old female with hepatitis C, liver cirrhosis, and history of intravenous heroin use presented with bilateral lower extremity swelling, weakness, multiple aphthous ulcers and a progressive, painful rash for 1 month. Physical [...]

By | 2019-03-11T14:43:30+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on DON’T GET TOO CHILLY WITH HEPATITIS C: CRYOGLOBULINEMIC LEUKOCYTOCLASTIC VASCULITIS

GRANULOMATOSIS WITH POLYANGIITIS PRESENTING AS DIFFUSE ALVEOLAR HEMORRHAGE REQUIRING EXTRACORPOREAL MEMBRANE OXYGENATION

Case Presentation: A previously healthy 26-year-old Caucasian man presented with 2 weeks of upper extremity edema in the setting of 4 months of productive cough with blood-tinged sputum, arthralgias, unintentional weight loss, and fatigue. On [...]

By | 2018-03-19T12:57:37+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on GRANULOMATOSIS WITH POLYANGIITIS PRESENTING AS DIFFUSE ALVEOLAR HEMORRHAGE REQUIRING EXTRACORPOREAL MEMBRANE OXYGENATION

LEVAMISOLE – INDUCED VASCULITIS: AN EMERGING PUBLIC HEALTH PROBLEM

Case Presentation: A 47-year-old African American woman with poly-substance abuse presented with a facial rash, bilateral hand joint pain and painful ulcers to the lower extremities for one week. Physical examination revealed violaceous tender skin [...]

By | 2018-03-19T13:00:12+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on LEVAMISOLE – INDUCED VASCULITIS: AN EMERGING PUBLIC HEALTH PROBLEM

LEVAMISOLE ADULTERATED COCAINE INDUCED DIFFUSE SKIN NECROSIS – AN EMERGING CONCERN AND A DIAGNOSTIC CHALLENGE

Case Presentation: 29 y.o. female with a history of autoimmune hepatitis presented with worsening lower extremities ulceration. The onset of rash was four months ago during which she visited dermatology clinic. Vitals signs were within [...]

By | 2019-03-18T17:58:24+00:00 March 18th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on LEVAMISOLE ADULTERATED COCAINE INDUCED DIFFUSE SKIN NECROSIS – AN EMERGING CONCERN AND A DIAGNOSTIC CHALLENGE

LEVAMISOLE VASCULITIS

Case Presentation: A 54-year old man with active cocaine use and untreated hepatitis C presented with fever and rash. He last smoked cocaine 4 days prior to admission. In the next several days, tender enlarging [...]

By | 2019-03-11T14:30:31+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on LEVAMISOLE VASCULITIS