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Topical corticosteroids attenuate pro-inflammatory signaling and promote a tolerogenic phenotype in Langerhans cells, characterized by downregulation of co-stimulatory molecules and HLA-DR expression, thereby reducing T-cell proliferation and IFN- production [106]

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And so, theyd often call me into their treatment rooms and ask me to identify where the trigger points were and mark them and even hold them so they could inject them