A Puerto Rican gentleman presents with a variety of symptoms: Little red dots on his legs, intermittent fever, generalized weakness, constant infections, nosebleeds, sweating, apparent muscle pain, and weight loss. In the course of the appointment a very disturbing fact is presented to the Hematologist. As a result, the doctor orders a variety of blood tests and although the doctor says he doesn’t have a diagnosis yet, the patient suspects the worst.