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The average mortality rate is 4% to 10% from multiorgan failure (most commonly hepatic necrosis), 22 with long-term complications that include exfoliative dermatitis, 23 acute necrotizing eosinophilic myocarditis, and autoimmune sequelae such as thyroid disease, vitiligo, alopecia areata, lupus erythematosus, autoimmune hemolytic anemia, and fulminant type 1 diabetes mellitus

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