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Following assessment of serum carnitine levels a diagnosis of carnitine deficiency, systemic primary is confirmed by demonstrating reduced carnitine transport in skin fibroblasts that have been isolated from the patient

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Lymphomas Relationship of HCV and Lymphomas Chronic HCV infection has been associated with an increased risk of developing B-cell non-Hodgkin lymphoma (including diffuse large B-cell lymphoma, marginal zone lymphoma, lymphoplasmacytic lymphoma, splenic lymphoma with villous lymphocytes, and extranodal marginal zone B cell lymphoma of mucosa-associated lymphoid tissue) as well as primary hepatic lymphoma.[92,93] There is a particularly strong association of HCV with B-cell non-Hodgkin lymphoma, with epidemiologic studies involving persons with chronic HCV showing a two-fold increased risk of developing non-Hodgkin lymphoma

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