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Acknowledgments This is a case report of a patient who was enrolled in a phase 3 open-label clinical trial of deucravacitinib, a drug developed by Bristol Myers Squibb

Fill the syringe with air up to the same level as the medication dose

This is an inherited genetic disease called pyroglutamic aciduria which manifests as hemolytic anemia and metabolic acidosis, causing neurological disorders and vulnerability to bacterial infections, and which can be classified as mild, moderate or severe depending on the severity of the symptoms

Weakness, slowness, or slow recuperation following disease (which is associated with toxin accumulation)