Barely Significant
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Autoimmune Pulmonary Alveolar Proteinosis Diagnosed after Exposure to a Fire Extinguisher Containing Silica Powder.

Intern Med · 2019 · PMC6702020 · PMID 30996157

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highly significantno p-value reported
Unfortunately, the serum of the patient prior to the dust exposure was unavailable; nevertheless, this case can be highly significant for understanding the mechanism underlying the development of APAP.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.