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The pathogenesis of antibody‑mediated autoimmune disease involves a combination...

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The pathogenesis of antibody‑mediated autoimmune disease

involves a combination of immune tolerance defects and external influences.

While loss of central or peripheral tolerance is necessary for autoimmunity to

occur, population studies suggest that no single immune checkpoint failure

fully explains disease onset in most patients.

Which of the following is most commonly

associated with the initiation of antibody‑mediated autoimmune disease?

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