2016 Oct;107(8):702-4. doi: 10.1016/j.ad.2016.03.006. DermNet provides Google Translate, a free machine translation service. Allergic contact dermatitis (differentiated by its pruritic nature, response to topical steroids, inflammatory appearance with erythema on exam, and a possible exposure history), 4. Peeling skin on fingers near nails Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks, Hausauer AK, Cohen DE. Key Takeaway: It may be more common in those with sweaty palms due to localised hyperhidrosis. Prevent the bacteria from returning by changing your shoes and socks when they get wet and wearing shoes with good airflow. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen. Protection from irritants, wear gloves, good moisturization. Around half of the individuals present the condition in summer months, Individuals with sweaty palms have a higher risk, Exposure to saltwater (especially seawater), Air-filled blister formation on the finger or palm of the hand. The etiology of keratolysis exfoliativa is unknown, but the condition appears to be worsened by heat or sweating. and transmitted securely. The first sign of keratolysis exfoliativa is one or more superficial air-filled blisters on the fingers or palms. Mupirocin. The skin may swell and become red due to inflammation. Most of the time, when a patient walks in for help, the disease has already worsened and has repeatedly recurred. Keratolysis exfoliativa generally presents in young active adults. The condition can be treated at home by taking necessary precautions: Cleveland Clinic is a non-profit academic medical center. It is always important to discuss the effect of risk factors with your healthcare provider. Any exacerbating factors should be controlled. It is also wise to eat a healthy anti-inflammatory diet and maintain proper hygiene by cutting your nails on a regular basis and washing your hands and feet. Approved by: Krish Tangella MD, MBA, FCAP. Exposure to irritants such as washing powder, soap, detergent etc. Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. How can you prevent exfoliative keratolysis? 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It is performed to examine the change in skin pigmentation, Skin biopsy, if necessary: A skin tissue biopsy is performed and sent to a laboratory for a pathological examination. Contact dermatitis vol. Treatments are mainly anecdotal and may or may not lead to improvement. Staph infections sharing sensitive information, make sure youre on a federal Latest News Your top articles for Saturday, Continuing Medical Education (CME/CE) Courses. Non-Hodgkins lymphoma A diagnosis of Keratolysis Exfoliativa may involve the following exams and procedures: A differential diagnosis may be necessary to eliminate other conditions that present similar signs and symptoms such as: Many clinical conditions may have similar signs and symptoms. It can also fortify the epidermal barrier that may prevent future exfoliative keratolysis outbreaks. This problem is more prevalent in younger age groups. Br J Dermatol. The following factors may have a role to play in its formation and/or exacerbation: The signs and symptoms of Keratolysis Exfoliativa may include: Recurrence of the localized condition is observed within a few weeks. Eczema is also a quite painful condition, whereas exfoliative keratolysis doesnt hurt as much. Another cause of the skin peeling is sweating in your shoes. Disclaimer. 10 Ways to Control Blood Sugar without Medication, What Is Exfoliative Keratolysis? For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. Created for people with ongoing healthcare needs but benefits everyone. Oakley, A., Exfoliative keratolysis, DermNet New Zealand; How Long Does Exfoliative Keratolysis Last? Presently, it is not known to occur from genetic factors, even though a family history is occasionally noted. Tinea (typically seen with associated changes in the fingernails or toenails, occasionally pruritic, does not wax and wane, positive fungal scraping or culture, and responds to treatment with antifungal agents). Epub 2012 Oct 5. Before Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. Clipboard, Search History, and several other advanced features are temporarily unavailable. Use of topical steroids and cortisone cream and even increased levels of prednisone is also effective in treating the problem. Get useful, helpful and relevant health + wellness information. Updated by Dr Oakley, December 2018. Foot skin peeling Also, keep in mind that exposure to soaps and detergents will make exfoliative keratolysis worse. While eczema and exfoliative keratolysis look very similar, the difference is that exfoliative keratolysis will peel and shed, whereas eczema also produces itchy skin. The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. Exfoliative keratolysis Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. Chang YY, van der Velden J, van der Wier G, et al. When the condition affects the lower body, it causes foot skin peeling. This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. As a result, the condition will recur since the root of the problem does not get addressed. Psoriasis: Psoriasis is a chronic condition that affects the skin. A few observable symptoms in India: In most cases, it starts with the advent of summer and ends when simmer departs. Antibiotics effectively treat the condition to make the odor go away. The condition may also be a sign of immune system disorders. Final Thoughts on Exfoliative Keratolysis, https://www.dermnetnz.org/topics/exfoliative-keratolysis/. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. keratolysis exfoliativa has no known causes in Indians but the condition is found in young adults who are active throughout the day. Enjoying our content? Lee YC, Rycroft RJ, White IR, McFadden JP. In this condition, the skin cells multiply consistently at a speed that is faster than normal. Acral skin eruption observed during SARS-CoV-2 pandemic: possible keratolysis exfoliativa with red palms and soles. Tests arent always necessary, as pitted keratolysis has a distinct appearance on your skin, but your healthcare provider might offer tests to rule out similar conditions, which could include: Treatment for pitted keratolysis focuses on removing the bacterial infection from your body. This is a very common disease where the skin starts to peel off automatically causing eruptions and dryness to the palms of hands and, sometimes, to the soles of feet. There is no definitive cause for Exfoliative Keratolysis, however, there are a couple of situations that make someone susceptible to accumulating the disease. Meaning, the signs are symptoms are treated but the underlying cause is not addressed. It is its own thing. 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis, Tinea manuum (fungal infection of the hand), Avoiding known irritants, chemicals, and friction, where possible, Application of topical agents such as lactic acid or silicone cream. 2. | Find, read and cite all the research you . The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. Salt water, sun, and other bacteria can cause skin peeling. Speak to a doctor on MFine to know more about its causes and risk factors today! Maintaining good personal hygiene and avoiding overexposure to the sun. The example can be best explained by skin asthma. Keratolysis Exfoliativa . ), (Provides a description of the microscopic pattern of splitting seen in keratolysis exfoliativa and contrasts these finding with that of familial continual peeling of the skin), (A study that characterizes the clinical characteristics of 108 atopic dermatitis patients with hand-foot dermatitis. Although effective, PUVA treatment can also have some negative side effects such as: As previously mentioned above, there is no definitive cure for this disorder. The peeling is not limited to the hands and feet. Chang YY, van der Velden J, van der Wier G, Kramer D, Diercks GF, van Geel M, Coenraads PJ, Zeeuwen PL, Jonkman MF. Epub 2012 Oct 5. Note that this may not provide an exact translation in all languages, Home Young adult people are mostly victims of this disease. The condition is typically caused by an overgrowth of bacteria on the skin or by a reaction to a medication. 2020 Dec;34(12):e783-e785. Tenia pedis. When the whole hand and foot peel off it gone for next six months. Eating different kinds of nuts is good for skin. 18. Pits or tiny indentations in the patch of skin that look like small holes. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. - Drug Monographs For example, rubber boots dont offer sufficient airflow. Lee HJ, Ha SJ, Ahn WK, Kim D, Park YM, Byun DG, Kim JW Pediatr Dermatol 2001 Mar-Apr;18 (2):102-6. doi: 10.1046/j.1525-1470.2001.018002102.x. The usage of lotions that are rich in Salicylic Acid and Lactic Acid may prevent infection Take Care Of Your Nails At Home: Easy Pro Guide. Acitretin has previously been used to treat diseases of abnormal corneocyte desquamation, for example Netherton's disease. Causes and Treatment. The symptoms are aggravated by exposure to irritants including water, soap, detergents and solvents. In addition, the patient is advised to wear minimal clothing sometimes just underwear so the body can be openly exposed. So, we should take care of the skin and look after the affected area gently. Natural hand soak: Soak your hands in an oatmeal bath for about 15 to 20 minutes daily to help improve exfoliative keratolysis symptoms like dry skin. Patients should be aware that this treatment is purely anecdotal and data to support its benefit is lacking. When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. References Hausauer AK, Cohen DE. (2020). Can my diet help in avoiding peeling skin? The possible complications due to Keratolysis Exfoliativa include: Mild and localized cases of Keratolysis Exfoliativa may not require any medical intervention since the exfoliated areas are generally replaced by normal skin. So, how long does exfoliative keratolysis last? In addition to amino acids and lactic acids, urea is a natural moisturizing factor (NMF) that is commonly found in the outermost layer of . Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? - Evidence-Based Guidance Australas J Dermatol. Lets take a deeper look at some of the other exfoliative keratolysis treatments available. 166. Avoiding drying agents, allergens, and irritants by wearing gloves. The best exfoliative keratolysis treatment is to avoid factors that cause the condition, including irritants like soaps, solvents, and detergents. Topical psoralen emollients such as gels or lotions are typically applied to the affected areas for 10 minutes before skin is exposed to UVA. List of photos, images and pictures ofExfoliative Keratolysis: The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. Federal government websites often end in .gov or .mil. Keratolysis exfoliativa is a common skin condition that causes the palms and soles to peel more intensely than usual. If the patients condition worsens or becomes symptomatic, then the diagnosis should be questioned and it may be important to review the differential diagnosis and re-evaluate the patient to rule out other etiologies. One of the more common forms of treatment for exfoliative keratolysis is the application of a lactic acid-infused hand cream. Dont miss out on todays top content on Dermatology Advisor. Last modified on March 2021With inputs from Dr.Vedalatha Kakani, General Physician. Books about skin diseasesBooks about the skin This is usually repeated 2-3 rows in a week. Sometimes on the ends of the fingers, the split in the skin is deeper, in which case the skin feels hard and numb and takes longer to peel off. The disease is thought about as seasonal as this usually affects young adults during summer. Familial continual skin peeling. Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. What causes keratolysis exfoliativa in Indians? There are possible side effects of taking antibiotics, which could include: Before starting any treatment, talk to your healthcare provider about side effects and discuss the current medications you take to avoid drug interactions. Wearing shoes with good airflow; avoid rubber boots. Keratolysis exfoliativa and the mosaic fungus. They might ask questions about the type of shoes and socks you wear, especially around the time you noticed your symptoms. No advanced study has been carried out about what might be the cause of exfoliative keratolysis. Keratolysis exfoliativa is a common skin condition which most often affects the palms, but can develop on the soles of the feet. Oatmeal bath this gains improvement when practiced daily, Taking daily Vitamin supplements as weakened immune system predisposes someone to the disorder, Mint application on affected area; mint contains healing properties and has moisturizing effects as well, Pineapple juice applied over to damaged skin, Eating protein rich foods such as meat, liver, carrots as they aid in cell repair, Drinking apple cider vinegar pills and olive extracts, Frequent cutting of fingernails and toenails to maintain hygiene, Avoidance of eating egg as it is a known allergen as well as crustaceans or seafoods. The latter isnt seasonal as well and happens all year round and is also common for people who have skin asthma. Work or participate in activities where youre outdoors and on your feet for most of the day. Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. A 21-year-old male asked: . Copyright 2017, 2013 Decision Support in Medicine, LLC. It is a result when blisters concentrated on the palm peel off and split making it look like it is shredding. The cause of development of Keratolysis Exfoliativa is currently unknown. The following may be helpful: Protect the affected area from irritants (I am still searching tha Sometimes, allergic reactions may cause peeling of the skin. British Journal of Dermatology,7(2), 37-39. However, this is not generally itchy in contrast to eczema. The condition is recurring causing the skin to harden and become rough. However, there are situations that local approach is utilized. Please login or register first to view this content. Your body isnt able to stop future infections (. Picture 2: Palm with Exfoliative Keratolysis. Some of the precautions and home remedies are given below. 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. Ringworms Because of this, the skins ability to heal is compromised. Wende, G. W. (1919). It is also known as Focal Palmar Peeling and is typically observed in young adults Keratolysis exfoliativa Instead, eat plenty of anti-inflammatory, essential fatty acid-rich foods like flaxseed oil and wild-caught fish, and other foods that assist with wound healing like vitamin A-rich foods, probiotic-rich foods, and pumpkin seeds and chia seeds. Proper hand hygiene: Maintain hygiene with frequent cutting of your toenails and fingernails. Physical and mental stress can affect the skin sometimes. Br J Dermatol. This article will detail everything you need to know about exfoliative keratolysis causes, symptoms, treatments, natural home remedies, and tips to prevent the condition. A person suffering from exfoliative keratolysis could experience sores and peeling skin; skin peeling occurs gradually over time resulting in formation of very dry and itchy skin. The condition is diagnosed when your dermatologist notices peeling skin on palms of hands and cracked skin on fingertips. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. It is also known as Focal Palmar Peeling and is typically observed in young adults, The cause of the condition is generally unknown, but it may be aggravated by contact with irritants, such as chemicals and solvents, and is more common in summers. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis. In het boek wordt de geschiedenis beschreven van de Groningse leerstoel huid-en geslachtziekten van 15 september 1913, toen prof. dr. RA Reddingius bij Koninklijk Besluit werd, 466. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. Exfoliative Keratolysis often called keratolysis exfoliativa or focal palmar peeling is an integumentary disease wherein peeling of the skin occurs, it usually affects the distal parts of the fingers and the palmar toes. J Cutan Dis, 37, 174-175. Fusidic acid. There has been no conventional drug proven to be effective to heal exfoliative keratolysis. There is no definitive cure for exfoliative keratolysis. Antibiotics could include: Antiseptics like benzoyl peroxide gel or cream can help clear the infection from your feet. 2. Generally, skin peeling on fingers is a common symptom in Indians. Dermatologica. Home remedies or preventions are more effective with respect to this problem. ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). Keratolysis Exfoliativa is the condition of peeling of the skin around the palms and soles. In some cases, the following steps may be considered: The following DoveMed website link is a useful resource for additional information: https://www.dovemed.com/healthy-living/skin-disorders/, American Academy of Dermatology930 E. Woodfield Road Schaumburg, IL 60173Phone: (866) 503-SKIN (7546)Fax: (847) 240-1859Website: http://www.aad.org, https://dermnetnz.org/topics/keratolysis-exfoliativa/(accessed on 05/20/2021), https://en.wikipedia.org/wiki/Keratolysis_exfoliativa (accessed on 05/20/2021). There may be an association with underlying atopic dermatitis, thus one may also see a combination of asthma and allergies more frequently. As you already know there are no fixed reasons behind exfoliative keratolysis. Talk to a doctor now . She spends her free time reading books and watching TV series. When keratin breaks down, it impairs the skins strength and elasticity. Same-day slots available, Low waiting time, At-home care programs & blood tests, Easy access to doctors & dietitians, Our AI will help you assess your health status in 5 minutes, Understand your menstrual cycles & reproductive health better, Our presence identified by the fourth pillar of democracy, Cardiac Risk Assessment Test in Ahmedabad, Allergy Risk Assessment Test in Ahmedabad, Smoker's Risk Assessment Test in Ahmedabad, Bhakare Super Speciality Hospital and Research Institute. Fourthly, although unproven, medical researchers believe that extremely hot climate during summer increases episodes of perspiration. It could take between two to three days before you start to feel better. Common symptoms that accompany skin peeling are rashes, itching, dryness and other irritants. Keratolysis exfoliativa (dyshidrosis lamellosa sicca), een aparte peelingentiteit. Keratolysis exfoliativa is a condition that is treatable at home. Then, the blisters burstand it leaves a hollow and blank space underneath the skin. SANGSTER, A. Your doctor may identify Keratolysis Exfoliativa when air filled lesions appear on the skin near the hands or legs. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. DermNet does not provide an online consultation service. Pitted keratolysis is a bacterial infection that can cause your feet to smell bad. Recurrent focal palmar peeling. 1996. pp. Another medical approach to treat the disorder is photochemotherapy (PUVA). It may not be possible to prevent Keratolysis Exfoliativa in many cases. The first indication of Keratolysis Exfoliativa in Indians is peeling of the skin. The best way to treat the condition is to avoid the causative factors. Although rare, it can also affect the palm of your hand. Dr. Heidi Fowler answered. Because of this prevalent condition, the disease is sometimes mistaken for eczema. It can be treated with an application of coconut oil and keep your hand moist. Hausauer, A. K., & Cohen, D. E. (2015). Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. Background: Keratolysis exfoliativa (KE), also known as dyshidrosis lamellosa sicca, is a palmoplantar dermatosis characterized by air-filled blisters and collarette desquamation. Adverts are the main source of Revenue for DoveMed. Pediatr Dermatol. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions in India. There is also some suggestion that it is incited by low-grade physical or chemical damage to the stratum corneum of the volar skin, leading to a superficial separation of the stratum corneum. This can be done by applying the medical ointments like OTC moisturizer on the affected area and then avoiding any water or moisture contact with that affected region. The hands and feet should also always be well cleaned. It is triggered by allergic reactions to substances, food or even air. In cases like this, it would be recommended to consult a physician for extensive treatment and care but their management can only be limited too as it is best to treat the condition on its early episodes. Washing your feet and hands with soap and water when you remove your shoes and socks. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. There are different ways to do the treatment. Make sure to clean hands to prevent bacteria from spreading and developing as it penetrates inside the open skin and worsesn the situation. When the blisters present around the palms burst, they cause circular marks leaving cracked skin on fingertips. Some risk factors are more important than others. It is best to stay away from such irritants. (Provides a description of the microscopic pattern of splitting seen in keratolysis exfoliativa and contrasts these finding with that of familial continual peeling of the skin), Lee, HJ, Ha, SJ, Ahn, WK, Kim, D, Park, YM, Byun, DG. If the peeling of skin does not reduce or the condition does not improve, a specialist may recommend using photochemotherapy. 10 Most Common Nail Diseases And Disorders. 1. Keratolysis exfoliativa does not improve with topical steroids, unlike hand dermatitis. The condition usually develops in the summer and people with sweaty palms are the first to notice their skin peeling off on their palms. (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2570§ionid=210430286), Visitation, mask requirements and COVID-19 information. Pitted keratolysis is a bacterial infection that affects the skin on your feet. Key Points Common skin condition which often affects the palms Cause is unknown Initially consists of blisters on the palms and/or fingers, which burst causing areas of skin to peel. The first sign of this condition is constant discomfort on the skin that provokes itching. In such cases, the cracked skin on fingertips takes longer to peel off and heal. The procedure runs from a minimum of one minute to a maximum of 30 minutes depending on the patients tolerance. Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. Keratolysis exfoliativa. Want to know more about exfoliative keratolysis? Dermatol Online J. Thus, the skin peels off and sometimes cause pain too. - Conference Coverage Exfoliative keratolysis mainly attacks and is common during the summer months. Keratolysis exfoliativa also known as focal palmar peeling is a common disorder that is rarely reported and often overlooked as hand eczema. As a result, the disorder is already difficult to treat. Advertising on our site helps support our mission. The condition rarely goes away on its own without treatment from your healthcare provider. The differential diagnosis of keratolysis exfoliativa includes the following entities: 1. Keratolysis exfoliativa. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. In others, the following treatment measures may be considered: Regular follow up visits with the healthcare provider is important and recommended. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. An official website of the United States government. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. Wear shoes and/or socks that are too tight (occlusive) and have limited airflow. There is usually no need for further diagnostic testing, as this is typically a clinical diagnosis; however, in more difficult cases, a potassium hydroxide (KOH) scraping or fungal culture to rule out tinea should be negative and patch testing to rule out allergic contact dermatitis should also be negative. If you still have an odor coming from your feet after you wash your feet at the end of the day, its a sign that you have pitted keratolysis. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. Another is to be extra careful during outbreaks particularly summer season. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. The epidermis is made of several layers of keratina protein necessary for skin strength and flexibility. There is no definitive cure for exfolaitive keratolysis; however, the right treatments can help control symptoms of the condition, such as lactic acid application, ultraviolet radiation treatment, or home remedies like certain essential oils or a coconut oil moisturizer. Usually the condition subsides with the use of an ointment as prescribed by the general physician. Lastly, stress can be an important triggering factor for Exfoliative Keratolysis. A patient complains of dry skin of the palm with initial air-filled blisters on fingers. Keratolysis exfoliativa is diagnosed clinically. Just another site Hyperhidrosis JAMA Dermatol. However, the cause of the constant skin shedding in exfoliative keratolysis remains a mystery. Kawasaki disease Want to talk to an expert regarding your diet? FOIA Dry skin Neri I, Patrizi A, Gabrielli L, Virdi A, Veronesi G, Corsini I, Lazzarotto T, Lanari M, Misciali C, Guglielmo A. J Eur Acad Dermatol Venereol. Eczema can be painful too unlike the aforementioned which doesnt have accompanying pain. These ointments and lotions will help reduce the discomfort that causes itching in the skin. Dermatology Made Easybook. 2015 Dec 16;21(12). Normal skin will develop in due time, although it is common for exfoliative keratolysis to return within a few weeks after normal skin has formed. It can also affect the whole fingers and fingertips at the advanced level. How is keratolysis exfoliativa treated in India? On the other hand, a skin that is prone to peel off can make your hands look ugly and dirty. Psoralens Another way to treat the condition is the use of PUVB ( this is a mixture of psoralens and short wave ultraviolet radiation). Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. However, exfoliative keratolysis will recur several weeks after skin appears to return to normal.
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