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188 adult patients evaluated for Chronic Inflammatory Response Syndrome contributed paired laboratory measurements for α-MSH, MMP-9, and VIP, alongside nasal culture results for multiple antibiotic-resistant staphylococci. Margaret DiTulio authored this retrospective observational cohort study, which was last updated on April 17, 2026. The analysis found a selective association between clearance of the resistant bacteria and higher circulating levels of the neuroimmune peptide α-MSH.
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