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Demographic characteristics of patients with MALSD (n = 69)

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Infections represent the most common cause of swollen lymph nodes: Viral infections including upper respiratory tract infections, influenza, infectious mononucleosis (glandular fever), and COVID-19 Bacterial infections such as streptococcal throat infections, skin infections (cellulitis), or dental abscesses Other infections including toxoplasmosis, tuberculosis, or HIV (in specific contexts) The lymph nodes typically swell in the region draining the infected area

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The mechanism likely involves rapid changes in retinal blood flow, increased vascular permeability, and alterations in growth factor expression as glucose levels normalize

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