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This is manifested clinically by the skin becoming flaky, inelastic, and prone to recurrent infections and also to fluid loss through the skin, which in turn leads to polydipsia (Wallach & Hoff, 1982)

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Saccular stage hyperoxia injury not only decreased the expression of the alveolar formation genes FOXM1, MYB and MCM2 but also overactivated Wnt/-catenin signalling

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Further, autoantibodies binding to the AChR can trigger the complement system, a cascade of proteins that can further damage the NMJ

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The laterality must also match the diagnosis

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