1Department of Internal Medicine, Oregon Health & Science University, Portland, Oregon

2Division of Hematology and Hematologic Malignancies, Department of Internal Medicine, University of Utah, Salt Lake City, Utah

3Department of Pathology, University of Utah, Salt Lake City, Utah

4Medicine Section, VA Salt Lake City Health Care System, Salt Lake City, Utah

Correspondence: Dr. Kalani L. Raphael, Department of Internal Medicine, University of Utah 30 North Mario Capecchi Drive, 3rd Floor South, Salt Lake City, UT 84112. Email: [email protected]