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The previous studies proposed the relationship between carnitine and its derivatives with neurological diseases and increased risk for cardiovascular events or metabolic syndrome 14,15,16

Case presentation A 14-year-old boy, suffering for about a year from acne (Figure 1) treated with tetracyclines and rupatadine, presented due to intensiving ankle and knee joint pain persisting of 2 weeks duration

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For example, the pattern recognition receptors (PRRs) on immune cells can identify the pathogen-associated molecular patterns (PAMPs) in fungi