TAFRO syndrome is a systemic inflammatory disorder of unknown etiology. and its diagnosis requires the exclusion of autoimmune diseases. A 42-year-old Japanese woman presented with TAFRO syndrome-like manifestations. but had undiagnosed limited-cutaneous systemic sclerosis preventing a definitive diagnosis of TAFRO syndrome. https://www.roneverhart.com/117-Varick-Street-Tribeca-NY-1914/