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Description
Human immunodeficiency virus (HIV)-associated and medication-induced oral mucosal melanin hyperpigmentations Oral melanin hyperpigmentation is common in HIV-seropositive subjects
Even with short-term use, many individuals report experiencing side effects that range from mild to moderate

Summary: Schwannoma = benign, encapsulated, slow-growing, rarely recurs
"Clostridium perfringens epsilon toxin: The third most potent bacterial toxin known"

Although biopsy even in skilled hands can lead to nail dystrophy, the risk does not outweigh the risk of failing to diagnose a malignant condition such as acral melanoma