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An injury to this tendon, known as bicep tendonitis, can cause pain in your shoulder or elbow area, and a torn tendon might cause painful swelling in your forearm, known as a Popeye sign

There are also genetic predispositions that render certain individuals susceptible to developing autoimmune diseases (83) and even after Epstein-Barr virus (EBV) infection (30, 84), such as human leukocyte antigen (HLA) variants (30, 84, 85) that have experienced selective pressures whilst co-evolving with pathogens (86, 87)