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Percutaneous drainage as an adjunct to antibiotics, if accessible, could be beneficial, although there is a lack of evidence for its use on a routine basis

However, such resistance in these patients may be caused by several other factors, including esophageal mucosal hypersensivity, bile acid reflux, abnormal esophageal motility, gastric motility disorders and rather than from acid reflux (10)

Statistical test used: two-way ANOVA (Tukeys multiple comparisons test)

Abstract Systemic lupus erythematosus (SLE) is a multifaceted autoimmune disorder characterized by chronic inflammation, tissue damage, accelerated cardiovascular disease and the synthesis of autoantibodies that target nucleic acids and nuclear protein complexes
