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Hassona Y, Sawair F, Al-Karadsheh O, Scully C

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Acral palmar and plantar nevi may be symmetrical, well circumscribed, and identical to banal melanocytic or congenital nevi as seen at any other site, or they may be asymmetrical, poorly circumscribed, and a source of diagnostic difficulty, both clinically and pathologically

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Some of the potential complications include: Ongoing blood loss leading to anaemia Fatigue, weakness and reduced exercise tolerance Sudden drops in blood pressure with severe bleeding Delayed diagnosis of ulcers, tumours or liver-related conditions While not every case is an emergency, melena should always be assessed promptly to determine whether bleeding is present and, if so, its severity