A Rare Form of Granulomatosis With Polyangiitis With Pyoderma Gangrenosum

Abstract

Granulomatosis with polyangiitis (GPA), formerly known as Wegener's granulomatosis, is rare and poorly understood and can affect a wide range of organ systems and is progressive in nature. Most commonly affecting the respiratory tract and kidneys, it has also been cited to affect the central nervous system (CNS) and skin. Proper and timely diagnosis will warrant appropriate treatment with slowing of disease progression. Our case illustrates a rare form of GPA with CNS and skin involvement that urges a wide differential for proper diagnosis.

Profound Rhabdomyolysis and Viral Myositis Due to SARS-CoV-2: A Case Report

“…Best practices for managing SARS-CoV-2 myositis and associated rhabdomyolysis involve a comprehensive history from the onset, and workup involving CK level, which were lacking from our patient's primary ED presentation. Early recognition of signs such as persistent myalgias, dark-colored urine, and elevated CK levels is essential [21]. These are the traditional triad of rhabdomyolysis in 10% of patients, although up to 50% of patients present asymptomatically [22].…”