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In the lungs, after entering in type II alveolar cells, SARS-CoV-2 infected cells become defective for surfactant production (Ghati et al., 2021) and release cytokines, like IL-8 among others, which in turn activate alveolar macrophages to release IL-1, IL-6, and TNF-, that induce natural killer and dendritic cell differentiation and macrophage M1 polarization, enhancing the proinflammatory response with increased vasodilation causing neutrophil and activated T cell influx from the capillaries into the alveolus, all leading to the cytokine storm (Carcaterra and Caruso, 2021

Hand Surg Rehabil 39(5):343351

Calcitriol may play a role in the immune system and may inhibit cancer growth and stimulate cell differentiation

Temporary water retention or peripheral swelling

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, they had to be preceded by the already advanced significant damage in the brain), the seizures lasted for a few hours throughout the progressing brain and liver damage (as seen with worsening throughout the 3-24 h post-paracetamol period)