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BothB and T cells leave the bloodstream through HEVs, crossingthe endothelium bydiapedesis—that is, bymigrating betweenthe endothelial cells in a manner similar to that describedfor neutrophils (see Fig.
In addition, his sacroiliac jointwas painful on palpation, and the provocation maneuver (Mennel sign) was positive on the leftside.