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This comorbidity is attributed to various factors, including the psychological impact of managing a chronic illness, potential shared genetic susceptibility, and common pathophysiological abnormalities, such as the dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, and inflammatory state [9,10,11]

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Throat culture to test for the strep bacteria, the doctor will rub a swab against the back of the throat and tonsils