On laboratory evaluation, she was found to have 1+ proteinuria, anemia (hemoglobin, 9.6 g/dL), thrombocytopenia (94,000 platelets/μL), elevated liver enzymes (alanine transaminase [ALT], 241 U/L; aspartate aminotransferase [AST], 175 U/L), and elevated lactate dehydrogenase (LDH 198 U/L). This evidence concerns the gene GPT and anemia.