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Occup Environ Med 57(10):668672

If HE develops as a consequence of HL, neurologic abnormalities such as ptyalism, stupor, coma, ataxia, and seizures may be observed.1, 2, 3 A minimum database, including complete blood cell count, serum chemistry, and urinalysis, almost always reveals severe liver enzyme elevation and other abnormalities such as nonregenerative anemia, stress leukogram, poikilocytosis, and bilirubin crystalluria

Clinically resolved psoriatic lesions contain psoriasis-specific IL-17-producing alphabeta T cell clones

This axis ultimately involves the release of glucocorticoids and other stress hormones that influence immunological response (Nishioku et al., 2009