Laboratory workup revealed a severe pancytopenia (hemoglobin 6.2g/dL, white blood cells 0.14/μL, neutrophils 0.01/μL, platelets 7000/μL), altered coagulation values (prothrombin time 15.1 seconds and activated partial thromboplastin time 32.1 seconds), renal dysfunction (blood urea nitrogen 65 mg/dL, creatinine 2.56 mg/dL), mild hypertransaminasemia (aspartate aminotransferase [AST] 145UI/L, alanine aminotransferase [ALT] 65UI/L), increased lactate dehydrogenase (LDH) (212 UI/L), and elevated inflammatory parameters (C-reactive protein 26.32 mg/dL and procalcitonin 75.8 ng/mL). The gene discussed is GPT; the disease is Abnormal renal physiology.