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Another recently discovered mechanism by which proteins and particulates and possibly bacteria can penetrate the mucosa is via GAPs, in which large solutes such as 10 kDa dextran and proteins such as albumin traverse the mucosa where they are presented to subepithelial dendritic cells [19, 53, 62]

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Although Bell's palsy will be cured spontaneously in many cases, a high-dose corticosteroid as a routine dosage based on guidelines would be helpful, and in severe cases, antiviral agents such as valacyclovir or acyclovir might be effective to enhance outcome (218)

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