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3.4.1.3 Other genetic factors Another factor that may contribute to susceptibility, or resistance, to sensitization relates to genes that control production of IL-4, a pleotropic cytokine that influences the development of both Th- and B-lymphocytes, the induction of Class II MHC antigens and immunoglobulin class switching from IgM to IgE

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Good Afternoon, I have a patient that came in for a well child visit and received vaccines and 90460 Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional