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Yet, the etiology appears to be multifactorial, as a number of other causative factors have been suggested for KBD, including fungal toxins in grain, iodine deficiency, and contaminated drinking water (52)

(PubMed) Caudill MA, Strupp BJ, Muscalu L, Nevins JEH, Canfield RL

People with weakened immune systems, whether due to medications (like chemotherapy or long-term steroids), HIV, or organ transplantation, have a higher risk that swollen nodes reflect severe or atypical infections and should be evaluated more quickly

Popper H., Maltoni C., Selikoff J