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Unlike a mold allergy, which involves an immediate IgE-mediated immune response, mold toxicity reflects sustained immune activation and impaired regulatory balance

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The diagnosis is established by: Low activity of -glutamyl transpeptidase in nucleated cells such as leukocytes or cultured skin fibroblasts

Momenzadeh) downloaded all the titles and abstracts retrieved by electronic search to a reference management database, removed the duplicates, and independently examined the remaining REFERENCES