Patient is a 34 year old Liberian Female with past medical history significant for Systemic Lupus Erythematosus (SLE) that was recently admitted to the hospital for weakness and was diagnosed with encephalomyelitis due to SLE. At that time the patient was also noted to have low platelets felt secondary to Immune Thrombocytopenic Purpura (ITP). She has history of thrombocytopenia with her four pregnancies. During this past admission the patient was treated with hydroxychloroquine and high dose steroids for the CNS involvement of SLE but no platelet response was noted with administration of steroids. She was discharged to a rehabilitation facility, but returned to the hospital with a new episode of worsening weakness.