Diana Ashouri, MD, University of California, Riverside, Riverside, CA.

Sharon E. Jacob, MD, University of California Riverside, Department of Internal Medicine, Riverside CA.

The authors declare no conflict of interest.

Correspondence concerning this article should be addressed to Sharon E. Jacob, MD, Department of Internal Medicine, Loma Linda University, 11201 Benton Street, 111D, Loma Linda, CA 92354. E-mail: [email protected]