Blood examinations revealed leukopenia (2.61 *10^9/L)(range 3.5–9.5*10^9/L), neutropenia (0.82*10^9/L)(range 2-7.5*10^9/L), elevated liver enzymes (alanine aminotransferase (ALT) 60 U/L(range 7-40U/L), aspartate aminotransferase (AST) 91 U/L)(range 13-35U/L), and increased inflammatory parameters erythrocyte sedimentation rate (ESR) 79 mm/H (range 0-20 mm/H), C-reactive protein (CRP) 17.6 mg/L(range 0-8 mg/L)), and interleukin 6 (IL-6) 13.6 pg/ml (range < 8 pg/ml). The gene discussed is GPT; the disease is Decreased total neutrophil count.