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Another study reported that 85% of patients with post-COVID-19 syndrome ( n = 214) had some alterations in at least one cognitive domain, with attention and executive functions being the most frequently affected areas [126]

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The immune response commences early during penetration in the epidermis, with HLA-DR+ cells, likely Langerhans cells, having been shown to aggregate at the sight of infection within 48 h, while keratinocytes respond to penetration by the release of the proinflammatory cytokines IL-1 and IL-1 (77, 95)

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doi: 10.1016/j.metabol.2023.155516 28