ACE and Thrombocytopenia: Although our patient had an atypical presentation of GD type 3c, there were several clinical findings and lab values consistent with the spectrum of GD; a low hemoglobin, thrombocytopenia, an increase in serum ACE levels, Erlenmeyer flask deformity on X‐ray, and MRI white matter hyperintensity changes, highlighting the need for multidisciplinary evaluation and comprehensive genetic analysis.