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Patients may also show growth impairment, psoriasiform lesions (well-defined scaly plaques most often found on the elbows) and frequent infections [1]

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Venugopal S, Kantarjian H, Short N, Thompson P, Pemmaraju N, Jain N, Wierda W, Borthakur G , Montalban-Bravo G, Ravandi F, Garcia-Manero G, Kadia T, Ohanian M, Chien K, Thankachan J, Nwakanme B, Garris R, Jabbour E

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PLoS Pathog 10(3):e1003988 Folkard SG, Hogarth PJ, Taylor MJ, Bianco AE (1996) Eosinophils are the major effector cells of immunity to microfilariae in a mouse model of onchocerciasis

These different levels are known as trophic levels, which is properly defined as the position within the food chain or energy pyramid that an organism can be found