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HD, Hemodialysis disease

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The clinical appearance is one of the brown to black spots or macules, with a histopathological increase in melanin in the basal cell layer of the oral epithelium and melanin incontinence in the upper portion of the lamina propria, but without an increase in the number of melanocytes [11, 39, 40]

Medical sources World Health Organization (WHO) National Cancer Institute (NCI) American Academy of Dermatology (AAD) NCCN Clinical Practice Guidelines in Oncology (Melanoma) Lentigo melanoma: Diagnosis and Treatment in the UK If you notice suspicious or skin cancer lesions , such as a new growth, persistent sore, or changes in an existing spot including a raised bump, ulceration, or slow-healing lesion its important to contact your GP immediately and seek professional care, which in the UK is available via the NHS , private clinics, or online dermatology consultations