lupus rash looks like ringworm

Elewski BE, et al. You can search by location, condition, and procedure to find the dermatologist thats right for you. When available, the diagnosis can be confirmed by observing branching hyphae under the microscope using a potassium hydroxide (KOH) preparation. A small percentage of people will develop both this ring-like rash and the one that looks like eczema or psoriasis. Tinea is classically more erythematous and scaly than LP, while lesions of GA are less numerous and have smooth borders. UV exposure brings on or worsens skin problems for as many as 7 in 10 people with lupus. Tinea corporis is a superficial dermatophyte infection of the body, not involving the scalp, face, hands, feet, or groin.4 Classically, tinea corporis is characterized by an asymmetric, well-demarcated, erythematous, dry, and scaly patch with a raised, red advancing border.2,4 Centrally, lesions clear, forming an annular pattern.4 Individual eruptions vary in size, enlarge over time, and often are associated with mild to moderate pruritus, although smaller lesions may be asymptomatic.4, Tinea cruris, or jock itch, is dermatophytosis of the groin. Some people get blisters. Once the lupus is under control, the hair grows back in again. Our All Access Subscription provides unlimited access to our entire publication Although characteristic plaques predominate, variations in morphology are not uncommon. Lab findings may include an elevated erythrocyte sedimentation rate, elevated liver function tests, and mild anemia.18 Serologic evidence of infection is most sensitive between weeks three and six and commonly involves detection of anti-Borrelia antibodies using enzyme-linked immunosorbent assay (ELISA), followed by a Western blot for confirmation.17, Adults should be treated with a 21-day course of doxycycline.18 Amoxicillin, cefuroxime, and penicillin can be used in pregnant women and children younger than 8 years of age.18 If significant rheumatologic, neurologic, or cardiac complications are present, more aggressive regimens consisting of intravenous antibiotics should be used.18, Often referred to as hives, urticaria is an extremely common skin eruption that occurs in up to 20% of the population.20 Most cases are benign and resolve spontaneously. Acute cutaneous lupus erythematosus refers to the notorious malar rash that is almost always associated with systemic disease.41 Subacute cutaneous lupus erythematosus (SCLE) describes a photosensitive eruption that commonly forms annular lesions, but is associated with systemic disease only occasionally. Bacterial Infections. Lupus Rash: Types, Causes, Treatment & Prevention - Cleveland Clinic With treatment, it heals without scarring. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. Eczema Vs. Ringworm: What to Know - WebMD Lee LA, Werth VP. About 90 percent of patients who get malar rash have systemic lupus. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. Last medically reviewed on January 22, 2019, Lupus is an autoimmune disease that can affect almost any part of the body, especially the skin, blood, joints, kidneys, heart, lungs, and brain, Hard skin on your finger can be frustrating, but its usually nothing serious. One of the first symptoms of lupus nephritis is edema, or swelling due to fluid buildup in the legs, ankles, and feet. What steps can I take to prevent a future lupus rash? my dr ruled out bacteria infection and cold sores. While rare, a basic cancer workup is warranted to rule out a paraneoplastic cause. Most cases occur on the feet, hands, and buttocks where larvae can penetrate the skin easily.28 Shortly after infection, patients experience intense pruritus localized to the area of inoculation. Acutely, lesions may ooze and have associated vesicles.38 Most will lack central clearing, although in some cases, plaques can expand and clear centrally, conferring an annular appearance.1 Lesions are especially common during winter months when skin is dry and primarily present on the lower legs, dorsal hands, and extensor surface of the arms.39 Excoriations often are prominent because of intense pruritus.36. In lupus, thrombosis may occur, causing clots to form where theyre not needed. I have lupus & very sensitive skin what kind of sunscreen or block do you recommend or what other things should i do to prevent skin rashes? The chronic nature of the disease often leads to complex treatment regimens requiring combination therapy to achieve control. You may see a rash, sores, swelling, or other changes. Occasionally, atypical target lesions that are round, edematous, and composed of only two distinct zones are present.43 Lesions may sting, burn, and even blister at the center.43 Sites of predilection include the palms, dorsal hands, elbows, backs of the arms, knees, shins, dorsal feet, and soles.14,43, EM major occurs primarily as a drug reaction. This patient developed a lupus rash after spending time under fluorescent lighting. The most common type of lupus, systemic lupus erythematosus (SLE), can cause dry, coarse hair to develop along the hairline. (2014, March 21). This can be very dangerous, especially if a clot breaks off and gets lodged in a blood vessel of the lungs, brain, or other part of the body. Lupus is an inflammatory disease that causes a rash to form on the body and, in an initial form, can resemble a ringworm rash. This rash reaches across your nose, from cheek to cheek, in a shape that resembles a butterfly. A person with lupus experiences fatigue, joint weakness, and flu-like symptoms. Avoid going outside when the suns rays are strongest, between 10 a.m. and 4 p.m. Here's what to look for and how to treat it. We avoid using tertiary references. [emailprotected]. There are many at-home and prescription treatments available to treat lupus-related pain. Exposure to ultraviolet (UV) light from the sun or artificial light sources may bring on a lupus rash. James WD, Berger TG, Elston DM. In the United States, Borrelia spirochetes are transmitted to humans by an infected Ixodes tick. A small percentage of people will develop both this ring-like rash and the one that looks like eczema or psoriasis. Financial Disclosure: Dr. Farel (CME question reviewer) owns stock in Johnson & Johnson. Establishing a broad differential and focusing on key morphological characteristics will improve accuracy of diagnosis, limit unnecessary treatment, and lead to faster resolution of disease. Ringworm, also called tinea, is a fungal infection that people with leukemia may be more prone to developing. If you have symptoms, tell your dermatologist. Seborrheic dermatitis can cause similar symptoms as scalp . Lesions are similar to those of tinea corporis, characterized by an asymmetric, well-defined, mildly erythematous patch with associated scale. I trust it will do the same for you. Not all butterfly rashes are lupus thats important to note; eczema is one example of a skin condition that may look like butterfly rash, he says. Leukemia and its associated treatments may cause skin-related side effects. In: James WD, Berger TG, Elston DM. Use lower-intensity lightbulbs at home and ask your employer to install them at your workplace. James WD, Berger TG, Elston DM. Slightly raised, expanding rings. The most common signs and symptoms include: Fatigue. Lupus Erythematosus. Favors the dorsal aspects of the extremities. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. How do lupus rashes start out? We use cookies to create a better experience. Kaushik N, Pujalte GG, Reese ST. Superficial fungal infections. Is My Rash Ringworm or Something Else? - Center for Dermatology ( 8) Other. all my blood work is neg (lupus panel) wouldn't it show in blood test? Many patients will report that when theyre in the sun their rash worsens, or maybe they notice that their rash gets worse during the summer months, he says. Doxycycline (adults)/amoxicillin (pregnant women and children). Reapply sunscreen every four hours. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. These other rashes dont necessarily appear in a butterfly shape. Raynauds is a reversible vasoconstriction of blood vessels in the fingers that is induced by cold. Other types of hair loss also develop. When lupus begins, it can look a lot like rheumatoid arthritis, which causes joint pain and swelling, or fibromyalgia, which causes fatigue and pain. Urticaria produces wheals and well-defined, erythematous superficial swelling of the dermis. How can ringworm, shingles, and other rashes appear on darker skin? Consider one of the subscription options below to receive full access to this article and many more. Red, circular rashes on the skin are a telltale sign of ringworm, but your doctor may also test a sample to confirm. Lesions are characterized by asymptomatic, small, annular papules or plaques with raised borders, typically purple to white in color.24,25 (See Figure 5.) When systemic lupus flares up, you may notice a sunburn-like rash on your face. Melasma is actually a form of hyperpigmentation, which is a broad skin condition in which skin has discolored or darkened for a variety of reasons, such as sun damage or acne scarring. A detailed travel history, recent bites, or outdoor exposures should raise clinical suspicion. Suh KS, Park JB, Yang MH, et al. Consider one of the subscription options below to receive full access to this article and many more. People with lupus can have a variety of cutaneous manifestations. The fingers can go through different color changes, says Stojan. The most common type affects young adults, usually on the hands and feet. Natalie tried many acne products without success. Tinea corporis and tinea cruris, the most common subtypes of dermatophytosis, are discussed briefly in this report. Requena L, Requena C, Cockerell CJ. Centers for Disease Control and Prevention. It looks like ringworm and usually appears on the torso. Butterfly or malar rash is a kind of acute cutaneous lupus, according to Stojan. Skin Issues Can Be First Sign of Rheumatological Illnesses - US News Mario J. Sequeira, MD, FAAD, Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. While tinea may be readily identifiable, a wide variety of clinical entities mimic these infections, leading to confusion and, often, misdiagnosis. Fingers and toes may also feel numb or painful in response to cold. 5. Rosacea or Something Else? | Everyday Health Hair loss, thinning hair, and nail changes are common in people who have different types of lupus. Lupus doesnt cause blisters, says Stojan. It's not contagious and usually not painful, but it can make you feel self-conscious. Drago F, Ciccarese G, Rebora A, et al. The different types of lupus can also cause the following changes to your skin: Lacy pattern on the skin called livedo reticularis, Poor blood flow in the fingers and toes when exposed to cold (Raynauds phenomenon). Widespread disease is treated with oral albendazole or invermectin.27, Porokeratosis of Mibelli is a rare, genetically inherited disorder of epidermal keratinization that arises during childhood or adolescence.29 Lesions begin as small, skin- to brown-colored papules that enlarge over the course of years, forming plaques with raised, ridge-like borders and atrophic, hyper- or hypopigmented centers.30 (See Figure 7.) In many cases, the diagnosis may not be obvious, even for the experienced clinician. It can smooth out deep wrinkles and lines, but the results arent permanent. Favors the trunk and proximal extremities. Leukemia Rash: Pictures, Symptoms, & Treatment - Verywell Health Hands (tinea manuum): Signs of ringworm on your hands . Tinea can be diagnosed confidently when characteristic lesions described below are observed. Treatment can help get rid of these symptoms until your skin clears. Dr. Kellawan (author), Mr. Andrasik (author), Dr. Schneider (editor), Dr. Stapczynski (editor), Ms. Light (nurse planner), Ms. Mark (executive editor), Ms. Coplin (executive editor), and Ms. Hatcher (editorial group manager) report no financial relationships with companies related to the field of study covered by this CME activity. Our website services, content, and products are for informational purposes only. Hansens Disease. You don't currently have a subscription to allow access to this publication. Connective Tissue Diseases. Subacute Cutaneous LE(SCLE) is a form of lupus that often starts as awidespread rash in areas exposed to sunlight. As mentioned earlier, individual lesions should not last longer than 24 hours, although an attack may last much longer.21 If lesions persist beyond 24 hours, other causes must be considered and a biopsy may be warranted.22 If food is a suspected trigger, a food diary may be helpful. When the rash is localized to the trunk, axillae, or groin, it commonly is mistaken for tinea. You may also have rashes on your forehead, arms, legs or other parts of your body. This review also may be helpful especially in cases of suspected tinea that are refractory to treatment. The location is suggestive when plaques are confined to the extensor surfaces of limbs, umbilical region, and sacrum.33 Physically removing scale can produce pinpoint bleeding, referred to as the Auspitz sign, characteristic of psoriasis.32 Extracutaneous manifestations including nail changes and asymmetric, oligoarthritis of the hands and feet commonly are seen in conjunction with cutaneous findings.34. limiting in that humans are dead-end hosts. Technically speaking, " ringworm is a dermatophyte," says Weinberg. This condition causes painful, purple skin patches that worsen in cold temperatures. Its vague symptoms are also why lupus is sometimes called the great imitator.. They'll look for signs of a fungal infection. my face gets red daily & occasionally extra redness in shape of butterfly rashes. Learn more, EPA Moving to Reduce Cancer Risk to HCWs Exposed to EtO Sterilant, The Vanishing Nurse: Staff, Patients in Peril, CDC: Be Wary of Travelers From African Outbreaks, Healthcare Workers Not Likely Infected, Colonized with C. auris, Tough Love: Returning Injured Workers to Full Duty, Karl Kellawan, MD, Forefront Dermatology, Centerville, OH, Wyatt Andrasik, BS, People who have lupus often develop symptoms similar to that of the flu. Most of that discomfort is caused by the inflammation that lupus triggers. Apply a broad-spectrum, SPF 30 sunscreen daily even when indoors. Wood GS, Reizner GT. How to tell if i have ringworm or lupus rash? both enjoyable and insightful. Although tinea is often to blame, many other entities mimic these infections. Cutaneous lupus erythematosus in skin of color. J Drugs Dermatol. Lupus can also lead to pulmonary hypertension, a form of high blood pressure in which the blood vessel connecting the heart to the lungs thickens. Localized granuloma annulare produces annular lesions with smooth, non-scaly contours. Among the many organs that lupus attacks are the kidneys, which normally filter blood and remove waste from the body. There are many types of rash seen in lupus. (https://jamanetwork.com/journals/jamadermatology/fullarticle/1818978). I had a biopsy on rashes it showed i have lupus. To diagnose EM, several lesions must evolve into the classic, target-shaped ones described above.43 In addition, EM lesions remain fixed for multiple days, whereas individual urticarial lesions last less than 24 hours. Lupus causes various rashes on your face and body. Retrieved from, How does lupus affect the blood? Reider N, Fritsch PO. Ringworm or Candida: What's the Difference? - WebMD A discoid lupus rash typically appears on your face and scalp, but it can affect any part of your body. Among the common presentations seen on a day-to-day basis are annular lesions. The immune response targets the skin cells and causes inflammation that leads to the rashes, he says. Erythema Multiforme, Stevens-Johnson Syndrome, and Toxic Epidermal Necrolysis. One symptom. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. Should I look out for signs of complications? In rare instances, a person with discoid lupus also develops chilblain lupus erythematosus. A rare form of psoriasis, termed annular pustular psoriasis, also is considered when annular lesions are present. You don't currently have a subscription to allow access to this publication. It can have a red center (seen here) or normal skin tone inside the ring. . 800-688-2421. Multiple firm, red to purple to brown colored papules, nodules, or plaques. By continuing to use our site, you consent to the use of cookies outlined in our Privacy Policy. In contrast, the term nummular, derived from the Latin word nummulus, meaning coin shaped, is used to describe sharply marginated, round to disc-shaped lesions without central clearing. James WD, Berger TG, Elston DM. If you already have a subscription to this publication, please. 2015;14(4):343-9. Retrieved from, What are the symptoms of lupus? If left alone, one half of cases will resolve within two years.8 If treatment is preferred, high-potency topical corticosteroids or intralesional triamcinolone can be used.8,9 Although most cases heal without residual skin findings, recurrence is common regardless of treatment.9, Pityriasis rosea is a common eruption primarily seen in adolescents and young adults.10 The etiology remains unknown, but given its seasonal variation, occurring mostly in the spring and fall, a viral cause is suspected.11 The eruption is aptly named pityriasis, meaning scaly, and rosea, meaning pink. This is a single round or oval-shaped lesion that is 2 to 10 centimeters (cm) in diameter. For DSR inquiries or complaints, please reach out to Wes Vaux, Data Privacy Officer, Ringworm (body) - Symptoms and causes - Mayo Clinic There are two kinds of changes that can happen around the nails in lupus. Naldi L, Gambini D. The clinical spectrum of psoriasis. What it looks like: Scabies is a discolored, splotchy rash that can appear pimple-like on any affected parts of the skin. There are many rashes from lupus but people with lupus can also get rashes that ar. Silverberg NB. The differential diagnosis of urticaria: Part I. Grattan CE, Saini SS. 2018;18(3):e411-e412. Erythematous annular or polycyclic plaques with a trailing scale inside an erythematous border. Feldmeier H, Schuster A. Mini review: Hookworm-related cutaneous larva migrans. Annular skin lesions are round with central clearing, whereas nummular lesions are round with discrete margins without central clearing. Discoid lupus occurs in people with chronic cutaneous lupus (CCLE). Thirteenth-century physician Rogerius Frugardi thought the lupus face rash resembled the markings of a wolfs face or bite. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. Seborrheic Dermatitis, Psoriasis, Recalcitrant, Palmoplantar Eruptions, Pustular Dermatitis, and Erythroderma. Discoid lupus can cause sores inside the mouth. If the rash is on the scalp, hair loss may occur. Not All Round Rashes Are Ringworm: A Differential Diagnosis of J Am Acad Dermatol 2010;62:667-71. Skin rash: Causes, 71 pictures of symptoms, and treatments Its a very common manifestation thats not specific for lupus; it can occur in many different autoimmune diseases, she says. This patient developed a lupus rash after spending time under fluorescent lighting. Symptoms tend to start about four to 14 days after exposure to the fungus that causes the infection. 2023 Healthline Media LLC. Lupus is a chronic autoimmune condition that causes inflammation throughout your body. They can look like a ring with a darker red circle on the ring's outer edge. Reviewed by: Most eruptions spontaneously resolve in two to eight weeks.28 Treatment with anthelmintics can shorten the course of the disease. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. Treatment consists of potent topical corticosteroids supplemented by daily soaking and greasing with occlusive ointments.36,40 In refractory cases, phototherapy can be used.36. Typical and atypical clinical appearance of atopic dermatitis. Leukemia rash may look like tiny red spots, bruising, and petechiae. What does a lupus rash look like on darker skin? Flaky, visibly greasy, white to yellow scaling overlies affected areas.36 Most cases are pruritic, and symptoms generally intensify with sweat.32,36, Seborrheic dermatitis may closely resemble tinea or psoriasis, especially in the groin. (2013, July 12). Apply UV-protective window films to your car windows. Pityriasis rosea is an itchy rash that begins with a herald patch. Other conditions that occasionally look like ringworm include seborrhea, psoriasis, pityriasis, contact dermatitis (such as poison oak), drug reactions, tinea versicolor, vitiligo, erythema migrans (a rash seen in Lyme disease), and even lupus. SCLE rashes tend to develop on parts of your body that get a lot of sun, such as your arms, shoulders, chest and neck. 2013 Jun;27(3):391-404. (n.d.), How does lupus affect the renal (kidney) system? Your Guide to Treating Lupus-Related Pain, How Lupus May Affect Your Eyes and Eyesight. Within days, erythematous papules followed by characteristic thin, red, torturous tracts begin to appear.26 (See Figure 6.) Learn how we can help 5.9k views Reviewed >2 years ago Thank Dr. PHILIP WALLER and another doctor agree Other triggers include drugs (penicillin, phenytoin, allopurinol, sulfonamides, barbiturates) and Mycoplasma infections.14 Erythema multiforme can be separated into EM minor and EM major, the more severe form with mucosal involvement. A dermatologist (doctor specializing in skin) treats lupus skin rashes. An antigen is any substance that causes the immune system to react, often by producing antibodies to fight against it. When a Red Circle on Your Skin Is Not Ringworm - Healthline Biopsy with histopathologic correlation can be used to confirm or establish the diagnosis when not clinically obvious.7, Reassurance and observation is appropriate, as GA is benign and self-limiting. MD Candidate, Wright State University Boonshoft School of Medicine, Dayton, OH, Richard A. Miller, DO, Program Director, Dermatology Residency Program, Nova Southeastern University College of Osteopathic Medicine/Largo Medical Center, Largo, FL. Patients might also notice tiny lines on the skin where the mites. The word cutaneous means skin. During an eruption, lesions begin small then extend peripherally, becoming more erythematous over time.32 As lesions mature, desquamation occurs, leaving a collarette of scale at the margin, which often is accompanied by intense pruritis and burning.32,33. May scar or discolor skin (lighter or darker). Systemic Symptoms in the Progression of Cutaneous to Systemic Lupus Erythematosus. Some people develop a nail infection, which can cause splitting or crumbling nails and discoloration (A), or swollen skin and discoloration around the nails (B). In adults, the most common etiology of annular lesions is tinea, a superficial fungal infection of keratinized tissue. The large, ridge-like border can be accentuated with the application of colored dye, such as crystal violet or povidone-iodine, followed by removal with alcohol.31 In addition, questioning may reveal a family history of similar lesions. Like you, Ive had little training in dermatology; most of what I know was learned on the job and through continuing education. Most types of lupus are best managed with medication and lifestyle changes. Sometimes when people have active systemic lupus, they can have a diffuse loss of hair, says Werth. This can signal subacute cutaneous lupus. They feel extremely tired. Can you have lupus without any sort of rashes? "Candida is a yeast," says Weinberg . During a first-time flare, this rash can resemble ringworm. By subscribing you agree to the Terms of Use and Privacy Policy. James WD, Berger TG, Elston DM. It's most common in men and adolescent boys. ENT. Other eczematous eruptions. Shape varies, but lesions often are round and blanch centrally, conferring an annular appearance.14 Lesions range from a few millimeters to more than 10 cm in size and are accompanied by intense itching, stinging, or burning. Small, violaceous, polygonal-shaped papules and plaques with a diffuse network of white streaking. Lupus is an autoimmune disease that affects more than 1.5 million Americans, according to the Lupus Foundation of America. Ringworm: Symptoms, Pictures, Treatment, Diagnosis & More - Healthline Well-demarcated, erythematous or hyperpigmented scaly or crusty coin-shaped plaques. If you have a darker skin tone, the long-standing patches of discoid lupus will eventually clear and can leave behind dark spots (A), light spots, or permanent scars (B). The hallmark finding in urticaria is its transient course. When scars develop on the scalp, hair cannot grow where there are scars. do you start itching first? Find out why dark spots appear and what can fade them. Pityriasis rosea produces diffuse eruption on the trunk and proximal extremities with oval-shaped, scaly plaques. EM is self-limiting and usually resolves within weeks without complications.14 For limited cutaneous disease, symptomatic treatment with oral antihistamines or low-potency topical corticosteroids is sufficient.43 In recurrent cases precipitated by herpes simplex virus eruptions, chronic suppressive antiviral therapy with valacyclovir is effective.14 When oral lesions are present, topical corticosteroid gels and swish and spit rinses containing a mixture of lidocaine, diphenhydramine, and kaolin are helpful.14 In severely ill patients, systemic corticosteroids should be considered.43, Hansens disease, also known as leprosy, is a rare, chronic granulomatous disease caused by Mycobacterium leprae.44 Although mostly a disease of the developing world, cases in the United States occur in those who have resided in foreign countries or those living in southeastern states with exposure to armadillos, a natural host.1,45 In almost all new cases, a history of close contact with an untreated, infected individual is obtainable.45 Once a patient is infected, the disease has an insidious onset and an incubation period that ranges from three to 20 years.1 Hansens disease primarily presents in two forms, tuberculoid leprosy and lepromatous leprosy.45 In both forms, cooler areas of the body such as the skin, peripheral nerves, upper respiratory tract, and eyes are affected.1,45 Warmer areas such as the axilla, groin, and scalp usually are spared. Therefore, referral to a dermatologist is appropriate. Its thought that the rashes occur because of exposure to sunlight, says George Stojan, MD,an assistant professor of medicine in the division of rheumatology at the Johns Hopkins University Medical School and the codirector of the Hopkins Lupus Center in Baltimore. Diagnosis relies on clinical presentation. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. When you have a butterfly rash, people may think that youre flushing, blushing or have a bad sunburn. (4th edition). Leukemia rash may look like tiny red spots, bruising, and petechiae. In: James WD, Berger TG, Elston DM. Hair loss (discoid lupus) Annular, skin- to brown-colored plaque with a raised, ridge-like border. Cleveland Clinic is a non-profit academic medical center. Lupus can make your skin extremely sensitive to sunlight and other types of light. Lesions of psoriasis often are larger and associated with a more silvery scale compared to NE.40 In addition, nail changes and arthritis would not be seen in conjunction with NE. Lesions are mildly pruritic and oriented along cleavage lines.12 When stretched, scale hangs, resulting in the pathognomonic hanging curtain sign. Multiple lesions may coalesce, forming a diffuse rash that, when present on the back, exhibits a Christmas tree pattern along Langers lines, the natural folds of the body.

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