Internal Medicine

Spinal CSF leak from a dural tear or CSF-venous fistula are known causes of spontaneous intracranial hypotension, but this is the first case caused by a primary CSF-lymphatic fistula unrelated to vascular malformation.

An unusual case of heart failure caused by ten years of anti-vascular endothelial growth factor treatment for polypoidal choroidal vasculopathy. The HF resolved after cessation of anti-VEGF injections. 

A case of AVP-D presumed to be triggered by vaccination against SARS-CoV-2. Persistent pituitary stalk enlargement and positive anti-rabphilin-3A antibodies helped diagnosis and avoided the need for pituitary biopsy.

SJMS is a rare lung condition characterized by lung hyperlucency and reduction in the pulmonary vasculature. This case in an adult patient was initially misdiagnosed as a pulmonary embolism.

A 41-year-old man presented with severe hand and wrist pain in both hands, and mild epigastric pain. An ECG showed anterior STEMI with an ejection fraction of 35–40%. Angiography showed severe left anterior descending artery and first obtuse marginal artery stenosis.

An extensive history of treatment-resistant migraine was eventually found to be a superficial aneurysm after the patient developed a painless lump in the left temporal region.

The first reported case of constrictive pericarditis in a patient with fiberglass lung disease. Careful review of exposure history and histopathological examinations are the key to diagnosis.

The GLP-1 receptor agonist dulaglutide was unintentionally used by a woman with type 2 diabetes until the third trimester of an unplanned and unrecognized pregnancy, but what was the outcome?

Vitamin D-dependent rickets type 1 A causes failure to thrive, hypotonia, and increased fracture risk, and may complicate the clinical course of lower respiratory tract infections. How would you address the therapeutic challenges in this toddler?

A woman with a history of neonatal hyperglycemia and a relatively uneventful childhood without treatment, experienced significant hyperglycemia and retinopathy in adulthood, but what was the cause of her diabetes?

Sheehan syndrome is usually characterized by anterior pituitary hypofunction, but in this case rapid-onset panhypopituitarism and arginine vasopressin deficiency developed after postpartum hemorrhage.

Explore diagnosis and treatment of a 13-year-old previously healthy boy with febrile infection-related epilepsy syndrome associated with COVID-19 infection.

Complications from peripheral IV central catheters can be difficult to identify quickly in pediatric patients. Point-of-care ultrasound showed a massive pleural effusion in this infant.

A 20-year-old man presented with persistent slow-onset frontal headaches that worsened through the day. A diffuse pulmonary arteriovenous malformation was discovered, despite no family history of hereditary hemorrhagic telangiectasia.

A woman presented with anterior neck swelling of 6 years’ duration that had recently increased in size. The absence of other significant clinical and laboratory findings delayed the diagnosis of thyroid tuberculosis.

Recurrent spontaneous pneumothorax due to lung cystic lesions in a man recovering from COVID-19. Clinicians should consider CT scans 2 to 3 weeks after symptom onset to detect lesions and anticipate the complication.

Diagnosing myasthenic crisis with atypical presentation is very challenging, especially in elderly patients who can present with isolated dysarthria, suggesting lacunar stroke.

Identifying the cause of muscle necrosis can be a diagnostic challenge, as shown by this case of diabetic myonecrosis complicated by pyomyositis and abscess caused by Escherichia coli.

Only the third reported case of dirofilariasis – a mosquito-transmitted infection – manifesting in the pleural cavity. The patient was treated successfully with doxycycline and albendazole.

A transgender woman with a sigmoid neovagina developed bloody diarrhea and neovaginal bleeding 10 years after sex reassignment surgery, highlighting the need for long-term vigilance.