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Decreased lipase levels associated with CVB4 infection. Serum samples were assessed for lipase levels to investigate complaints of abdominal pain. Lipase levels were within normal limits (73–393 U/L) at the time of GERD diagnosis, 4 years before the onset of RUQ pain. Levels were notably reduced below normal range, concurrent with episode of acute pleurodynia and remained low before the cholecystectomy.
