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Abidi C, Rtibi K, Boutahiri S, et al

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279,280,281,282,283 The increased cellular ROS by viral infection cause DNA damage, gene mutation, cell death, viral DNA integration and tumorigenesis

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The low yield of laboratory tests like a complete blood count, C-reactive protein, erythrocyte sedimentation rate, and autoimmune studies had led the AAO-HNS to strongly recommend against routine blood work, unless the history or physical exam suggests a specific etiology [32]

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