Given that the prevalence and consequences of muscle wasting are higher in Blacks than NHW41, 42 and low serum albumin levels and high platelet counts are surrogate markers of cachexia,36, 40 we have suggested that biologic correlates of PC‐induced cachexia may be more common among Black PC patients and possibly account for some degree of disparities in outcomes. Here, ALB is linked to pachyonychia congenita.