Author Contributions: Dr Kagawa had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Ayala, Kagawa, Wehner.
Acquisition of data: Ayala, Wehner, Tam.
Analysis and interpretation of data: Ayala, Wehner, Upadhyay.
Drafting of the manuscript: Ayala, Kagawa, Upadhyay.
Critical revision of the manuscript for important intellectual content: Ayala, Kagawa, Wehner, Tam, Upadhyay.
Study supervision: Kagawa, Wehner, Upadhyay.
Financial Disclosures: None reported.
Additional Contributions: Vibha Mohindra, MD, Santa Clara Valley Medical Center, had the insight to suggest checking a creatine kinase level on this patient. She received no compensation for her contribution.