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However, you almost only use those when adressing others. In the manga you see Kouta at the station before he meets up with Yuka. That time he thinks about her and he does use the word cousin when referring to her. If they wouldn't be related he would have just used her name with a suffix instead.
Anyway, what's the big deal about it? Marriage between cousins do exist in Japan as well as in a number of european countries.
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