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One review article stated that people with Dercum disease have obesity and chronic pain (214), which can easily be confused with people who have obesity and chronic pain for a variety of reasons including fibromyalgia

Figure 7 BMSCs play a key role in remodeling the leukemia niche
Cytokine Storm in COVID-19Immunopathological mechanisms, clinical considerations, and therapeutic approaches: the REPROGRAM consortium position paper

In the United Kingdom, the prevalence of chronic pain ranges from 35% to 51.3% of adults with 10.4% to 14.3% having moderate or severely disabling chronic pain [6]
134 , 2752S2759S (2004)