A Zebra at the Rodeo: Dyspnea, Hematuria, and a Family History of Arthritis

An 18-year-old, previously healthy female was admitted for urgent evaluation and management of symptomatic anemia after presenting to her primary care physician with fatigue and shortness of breath. The initial outpatient evaluation was remarkable for hypochromic, microcytic anemia with a hemoglobin of 6.7 g/dL.