Case Presentation: A 22-year-old woman with a history of Adult Onset Still’s Disease presented with one week of acute abdominal pain, dyspnea and intermittent fevers. She was found to have thrombocytopenia to 15,000. Infectious workup was negative except for Rhinovirus/Enterovirus on viral panel. HIV and HHV8 were negative. MRI Abdomen showed hepatosplenomegaly and computed tomography [...]