Low prevalence of severe CD4 suppression has also been observed in adult patients in Malawi.[39] Meanwhile, although anemia has been described in adult KS cohorts in Africa, the percentage of patients presenting with hgb < 8 g/dL (37%) in this pediatric cohort far exceeds that of adult descriptions.[40] Additionally, the high rate of presentation with severe thrombocytopenia (21%) in this cohort is a phenomenon never reported in adult KS patients. This evidence concerns the gene CD4 and anemia (phenotype).