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The possible complementary role in the etiology of 1 of this patient's medications could explain these findings, and the histological changes associated with the drug reaction may have masked those more often found in cases of vitamin B12 deficiency

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However, burning, stinging, redness, or irritation may occur

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Plain Language Summary Dark spots and uneven skin tone, known as hyperpigmentation, are a common skin concern affecting many people worldwide and can cause significant distress