The heart’s involvement by melanoma is not common on presentation, and it goes even unrevealed in some patients. Glancy et al. reviewed autopsies in 70 patients with melanoma and demonstrated that cardiac metastases occurred in up to 65% [1]. In general, cardiac metastasis is unusual and has been described in <10% of melanoma cases [2]. The reason that cardiac metastasis is not common is that most patients lack cardiac symptoms. Very few patients like our patient present with cardiac symptoms that reveal the diagnosis of metastatic melanoma.

Chronic Diarrhea as a Presentation of Behçet’s DiseaseMarawan Elmassry MD1*, Sayed Matar MD2, Jerapas Thongpiya MD1, Pitchaporn Yingchoncharoen MD1, Mostafa Abohelwa MD1, Sameer Islam MD31-Department of Internal Medicine, Texas Tech university Health Sciences Centre, Lubbock, TX, USA.2- Department of Pathology, Brigham and Women Hospital, Harvard Medical School, Boston, MA, USA.3- Department of Gastroenterology and Hepatology, Texas Tech university Health Sciences Centre, Lubbock, TX, USA.*Corresponding Author: Marawan Elmassry MDTexas Tech University Health Sciences Centre at Lubbock, Texas, USA.3601 4th street, Lubbock, TX 79430.Telephone/ Fax: +1-806-773-2831E-mail: Marawan.elmassry@ttuhsc.eduConflict of interest: The authors have no financial conflicts to disclose.Patient’s consent: Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policy.

Epilepsy is one of the most common neurologic diseases affecting people of all ages, races, sex, social classes, and geographic locations. Cardiac arrhythmias have been associated with patients with seizure disorders and can be a common sudden unexpected death in epilepsy. We present a case of a 74-year-old woman with altered level of consciousness and agitation who was found to have non-convulsive status epilepticus and complete AV block. She was successfully managed only with dual antiepileptic medications. Diagnosis is best made with EEG and ECG. In general, management is made by seizure medications, while pacemakers are still a point of debate.