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This illness resembles eosinophilic fasciitis and probably represents one aspect of the recently reported eosinophilia-myalgia syndrome.The development of the syndrome may result from a confluence of several factors,including the ingestion of tryptophan,exposure to agents that activate indoleamine-2,3-dioxygenase,and possibly,impaired function of the hypothalamic-pituitary-adrenal axis. |
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