“…Additionally, the mechanism by which PiCV infection contributes to the development of YPDS has also been described in various descriptions of certainties, ranging from “assumed to induce immunosuppression”, “possibly by immunosuppression”, to “causes profound immunosuppression”. See [ 22 , 23 , 33 , 40 , 44 , 48 , 58 , 59 , 66 , 67 , 75 , 77 , 79 , 84 , 88 , 89 , 90 , 93 , 94 , 95 , 100 , 101 , 102 , 104 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 ]. To us, these degrees of variability among these descriptors do not seem to correlate with time.…”