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Description
Mhamdi et al., 2010b)

The products are usually marketed as skin lighteners and anti-aging treatments that remove age spots, freckles, blemishes, and wrinkles

The black areas are Indian ink that has entered through the hole at the top, made by a dermaroller

If this test is indeterminate or if suspicion remains high during the early acute phase, an HIV RNA viral load test should be obtained to confirm the diagnosis

Toosi et al., 2012) and it could be a major link between OS and vitiligo autoimmunity (Manga et al., 2016