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The researchers hypothesized that exposure to second-hand smoke may lead to epithelial injury and actin release into circulation, increasing the demand for these scavenger proteins. Vitamin D-binding protein also plays a role in inflammatory processes

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A case reported in a young female vaper with acute hypoxic respiratory failure coupled with bilateral radiological opacities demonstrated that the patient was also positive for Mycoplasma pneumoniae pneumonia (MPP) [57], which generally has a mild clinical presentation, and is referred to as atypical or walking pneumonia [58]

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