1 Drs. Mank, Arter, Mignano, and Burke are from Tripler Army Medical Center, Honolulu, Hawaii. Drs. Mank and Arter are from the Department of Internal Medicine, Dr. Mignano is from the Department of Pathology, and Dr. Burke is from the Department of Dermatology. Dr. Cho is from the Department of Dermatology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.