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Ruddle et al., 2019

Interestingly, nitric oxide inhibits mitochondrial respiration by reacting with either the reduced or the oxidized binuclear site of cytochrome c oxidase, leading to ATP depletion

The role of ectopic germinal centers in the immunopathology of primary Sjgren's syndrome: a systematic review

16 , e1009069 (2020)

Rule out with clinical context, peripheral smear, and ADAMTS13 activity if TTP is suspected
