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Neuro Notes

Lower extremity pain and swelling

Clinical History:The patient is a 47-year-old man who presents with lower extremity swelling and pain x 5 days.Past medical history:…

Neuro Notes

Weakness and Paresthesia

Clinical History:This 52-year-old patient presented with increased weakness and mildly painful paresthesias. Imaging showed hilar adenopathy and a rheumatology consult…

vasculitis (“vasculitic myopathy”)
Neuro Notes

Vasculitic Myopathy

This 50-year-old patient presented with fever and bilateral leg myalgias. Laboratory studies showed elevated ESR (120) and normal CPK. On…


Microfascicles
Neuro Notes

Toluidine Blue Stained Thick Section

This 75-year-old patient presented with complaints of numbness, tingling and burning sensation involving his right lower extremity below the level…

glomerulus showing a fibrocellular crescent
eyeSCANdy

Glomerulus Showing Fibrocellular Crescent

Today’s eyeSCANdy image shows acellular scanning EM with a glomerulus showing a fibrocellular crescent (bottom).Photo credits to Dr. Stephen Bonsib!

ANCA Disease, LECT2 Amyloid, IgG4-Related Disease, AL amyloidosis, ANCA, digging deeper, Dr. Messias, Arkana Laboratories, pathology diseases
Digging Deeper

Digging Deeper – Here, There, and Everywhere

This biopsy came from an elderly gentleman in his 80s, who presented with acute renal failure.  His serum creatinine had…

By Nidia Messias, MD

ANCA-Mediated Vasculitis
Diagnose This!

Diagnose This (August 20, 2018)

What is your presumed diagnosis in the absence of immunofluorescence and electron microscopy?​   ​ ​   ​   ​…

By L. Nich Cossey, MD