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As an additional example to that of the trefoil peptides noted above, the peptide EGF (epidermal growth factor) is produced in human milk to promote growth of the gastrointestinal tract in newborn infants, but the same peptide aggressively stimulates the growth of breast cancer cells in adults

This case emphasizes the diagnostic challenge of PTMA in elderly, post-COVID-19 patients, and highlights the importance of distinguishing it from true TMA to avoid unnecessary treatment