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These patches can show up anywhere but are more likely to appear on your scalp, elbows, knees, and lower back

Although CVB downregulates class I HLAs, cells still present HLA bound viral peptides that mostly map to the P2-C protein and are conserved across CVB1 and CVB3 ( Moreover, CVB was shown to persistently infect a human pancreatic ductal cell line ( CVB-associated T1D may also be caused by the viral-associated effects on central tolerance

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10.1016/s0016-5085(99)70551-2 Gastroenterology