Caitlin Kesari, MD, is a board-certified rheumatologist practicing in Columbus, Ohio. She completed her rheumatology fellowship at the University of Cincinnati Medical Center and Cincinnati VA.
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Editor’s note: The African continent is full of diversity in every aspect. Although we were unable to ascertain precisely which country or region the patient had immigrated from, the key learning point remains: Immune dysfunction is often overlooked in those living in Africa and among African diaspora communities. Clinicians should maintain a high index of suspicion for these conditions.