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Elevated levels of IL-6, IL-10 and TNF- and increased expression of immune checkpoint markers such as PD-1 and T-cell immunoglobulin mucin-3 (Tim-3) on the surface of peripheral T cells, reduce T-cell function and memory T-cell activity (143, 144)

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Reference Kavarian, Mosher and Abu El Haija24 Case presentation The consent of the patient and her mother were verbally obtained and written down in her medical file

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