Andrea Vella Baldacchino, Dermatology. FOIA The incidence is higher in the elderly population and onset may be favoured by repeated mechanical trauma such as vibrations. Septic emboli can have mild or. it is a common site for venipuncture 5 . Removing the polyp should make symptoms such a, About five days ago in the middle of the afternoon I suddenly had pain on the lower right side of my nose. Disclaimer, National Library of Medicine This is how blood clotting, also known as coagulation, is supposed to work. The fact that your blood can clot is a good thing, because it can stop you from bleeding. The femoral artery is one of the major arteries in the human body. J Ultrasound 11(2):74-5 PMID: 23396654, [5] Thrombosis of the digital veins can be categorised into three subtypes. Epub 2012 Jul 25. Thrombosis of the palmar digital veins is relatively rare, typically reported in women aged 35-65 years and most commonly occurring on the fourth digit. Dermatology. Clipboard, Search History, and several other advanced features are temporarily unavailable. There have only been a few reports about thrombotic events in the volar digital veins, but the observation of 2 such cases gives reason to discuss this rare symptomatology. The third develops in a vein located near the surface of the skin and involves inflammation. Careers. The second group develops in a pre-existing normal vein or. Our experience in 6 cases of thrombosis of the palmar digital veins is presented and an additional 20 from the world literature are reviewed. Thromboses may present as an unsightly lump on the finger that has a bluish tint. Retiform Purpura of the Lower Limbs Associated with Levamisole-Adulterated Cocaine, European Journal of Case Reports in Internal Medicine: 2022: Vol 9 No 4, Superficial Granulomatous Pyoderma Successfully Treated with Intravenous Immunoglobulin, European Journal of Case Reports in Internal Medicine: 2021: Vol 8 No 9. Two cases of thrombosis of the palmar digital vein. Four of the 6 cases were managed conservatively with a favorable outcome. An xray would be needed to see if the bony part of the nose is fractured. This was surgically excised, and the histopathological diagnosis was a thrombosed varix. saturation MRI images show numerous varicosities of the hand. intrauterine device (IUD) containing 52 mg dening. PMC As the cut begins to heal, your body slowly dissolves the clot. Digital vein thrombosis was first described in 1936 by Jadassohn. In the first 2 cases the diagnosis was confirmed on histology following excision. Healthline Media does not provide medical advice, diagnosis, or treatment. Continue reading to explore blood clots in the fingers, why blood clots develop, and if they should be treated. Can I go back to work after polyp removal. Microsurgery. 2002;204:240243. J Hand Surg Br. Abstract Idiopathic thrombosis of palmar finger veins is rare and women suffer from it almost exclusively. The proximal vein stump of the skin flap was approximated to the distal transected stump of the radial palmar digital artery and the distal vein stump was joined to the Reversed interpositional vein grafting has good success in patients with symptomatic ulnar artery thrombosis. The observation of 2 such cases gives reason to discuss this rare symptomatology. Its primary function is to supply blood to the lower section of the body. An uncomplicated wound healing has followed with completely unrestricted and painless range of motion. Int J Dermatol. Kim HY, et al. Farrugia S, Cachia M, Degaetano J, Boffa MJ. 2010;30(3):233-7. doi: 10.1002/micr.20738. But when abnormal blood clots form in a vein or artery, it can create problems. Battaglia S, Danesino GM, Draghi F (2008) Palmar and finger varicosities: Presentation of a case. MeSH Accessibility It should always be considered in a patient who presents with a painful, firm, blue nodule located at or in close proximity to one of the flexion crease of the finger. Embolism to distal vessels results in acute pain and pallor in previously noncompromised tissue. (, Palm of left hand, showing position of skin creases and bones, and surface markings for the volar arches. Ann Dermatol. Upon answering each question, the explanation will be displayed for quick learning and revision. Learn more about them. Palmar and finger varicosities are pathological dilated veins that are frequently found in clinical or imaging practice. An abnormal clot is inside the vein and can prevent blood from flowing freely. They drain into the dorsal venous network on the back of the hand. Bethesda, MD 20894, Web Policies Surgical extirpation is indicated where the clinical diagnosis is in doubt, if symptoms persist, or if the nodule(s) progressively enlarge(s). Its worth noting that the hands have small blood vessels to begin with, so even a small clot can interfere with blood flow. . Theyll be able to tell the difference between a bruise and a clot and give you recommendations for treating your injury. All our patients were female and suffered from a tender, bluish nodule on the palmar aspect of a digit at or distally to the proximal interphalangeal joint. Burning sensation or feelings of warmth Redness around the blood clot The affected finger may experience discoloration ranging from reddish, to purplish, to black Inflammation and swelling Increased tenderness of the finger Causes Blood clot in finger develops due to thickening of the plasma protein, platelets, and other blood components. Abstract Our experience in 6 cases of thrombosis of the palmar digital veins is presented and an additional 20 from the world literature are reviewed. 90302 Injury to axillary vein 90310 Injury to brachial blood vessels 90320 Injury to radial blood vessels 90330 Injury to ulnar blood vessels 90340 Injury to palmar artery 90350 Injury to digital blood vessels 90380 Injury to other specified blood . Unable to load your collection due to an error, Unable to load your delegates due to an error. Before The surgeon will decide when to release you back to work at your follow-up visit. Therapy is related to symptomatology and surgery remains the main treatment in cases of painful varicosities [5]. The inferior vena cava is a large vein that carries deoxygenated blood from the, The brachial artery is a major blood vessel located in the upper arm and is the main supplier of blood to the arm and hand. Skin that feels warm. The incidence is higher in the elderly population and onset may be favoured by repeated mechanical trauma such as vibrations. Non-contrast-enhanced MR venography. This site needs JavaScript to work properly. palmar digital vein thrombosis in finger treatment. The first is similar to varicose veins. You might notice a bump, but you may not see much more than that. Palmar digital vein thromboses. Clinical aspects of venous thrombophilia. After a polyp removal it is normal to have mild bleeding till the wound heals. Federal government websites often end in .gov or .mil. Thrombosis of the digital veins can be categorised into three subtypes: the first shows clinical similarity to thrombotic events in veins or varicose veins of the limbs and may be related to a hypercoagulable state; the second group develops in a pre-existing normal vein or an acquired venous cavernoma and does . J Hand Surg Br. References In Acute Idiopathic Blue Finger Case Report Journal Of Hand Surgery, Pdf Two Cases Of Thrombosis Of The Palmar Digital Vein, Pdf Thrombosis Of The Palmar Digital Veins A Report Of 6 Cases And A Review Of The Literature, Figure 3 From Two Cases Of Thrombosis Of The Palmar Digital Vein Semantic Scholar, Https Journals Sagepub Com Doi Pdf 10 1016 S0266 7681 2805 2980219 0, Palmar Digital Vein Thromboses Their Different Expressions Semantic Scholar, Palmar Digital Vein Thrombosis In A Patient With Covid 19 Connolly 2021 Clinical And Experimental Dermatology Wiley Online Library, Image Gallery Palmar And Finger Vein Thrombosis Associated With Metastatic Colorectal Cancer Morgado Carrasco 2020 British Journal Of Dermatology Wiley Online Library, Figure 1 From Two Cases Of Thrombosis Of The Palmar Digital Vein Semantic Scholar, Palmar Digital Veins Art Fine Art America, Blood Clot In Finger Pictures Causes Symptoms Treatment And More, Https Actasdermo Org Index Php P Revista Pii S1578219007704961 Tipo Pdf Simple, Fig 1 Ischemic Necrosis Of Left 4th Finger Was Shown, Figure 1 From Bluish Nodule In The Hand Semantic Scholar, Of people whove had ACDF surgery for. The diagnosis of palmar digital vein thrombosis is based mainly on clinical symptoms although noninvasive assessment by ultrasonography can be undertaken. Likewise people ask what is thrombosis of the palmar digital. None could recall any. Abstract and Figures Our experience in 6 cases of thrombosis of the palmar digital veins is presented and an additional 20 from the world literature are reviewed. 2022: Vol 9 No 9 Small vein thrombosis is often identified as having a branching aspect. Abstract. Using the palmar approach the painful veins were identified and excised completely. Our website services, content, and products are for informational purposes only. 2005-2023 Healthline Media a Red Ventures Company. Deep vein thrombosis is common and well-known, superficial vein thrombosis is uncommon. The patients all female complained of a tender and unsightly lump over the digital palmar surface at the proximal interphalangeal joint level. sharing sensitive information, make sure youre on a federal Accessibility 2008 Oct;90(7):557-60. doi: 10.1308/003588408X318237. Most fingers of both hands were characterized by bluish . (B) Thrombus consisted of aggregated red blood cell in the vascular space (H&E, 400). The clinical diagnosis can be difficult, and imaging, particularly ultrasound, is necessary for the diagnosis and the identification of complications [4]. 4). This can make it difficult to tell if you have one. sharing sensitive information, make sure youre on a federal Keywords: EJCRIM 2022;9 doi:10.12890/2022_003552. The brachial artery, The arcuate artery of the foot is generally considered one of two major branches of the dorsalis pedis artery, arising just in front of the lateral, The anterior circumflex humeral artery is located near the armpit. 2022 Sep 21;9(9):003552. doi: 10.12890/2022_003552. At the end of the quiz your final score will be displayed. The site is secure. 1996 Jun;21(3):410-2. doi: 10.1016/s0266-7681(05)80219-0. [Use of volar veins in finger replantation]. 2002;204(3):240-3. doi: 10.1159/000057889. Bethesda, MD 20894, Web Policies Palmar digital vein thromboses: their different expressions. Palmar digital vein thrombosis : r/AskDocs Posted by Effective-Lab-5659 Palmar digital vein thrombosis Got this blood clot on my middle finger middle joint palms facing up. Reddit and its partners use cookies and similar technologies to provide you with a better experience. It typically, The femoral vein is located in the upper thigh and pelvic region of the human body. We therefore decided to publish this case report to highlight the role of MRI in the diagnosis of diseases of the hand, even in unexpected cases. All our patients were female and suffered from a tender, bluish nodule on the palmar aspect of a digit at or distally to the proximal interphalangeal joint. There have only been a few reports about thrombotic events in the volar digital veins. Factors that can raise the risk of blood clots in general include: Although some blood clots in the fingers resolve on their own without treatment, its still a good idea to see your doctor. Please enable scripts and reload this page. The observation of 2 such cases gives reason to discuss this rare symptomatology. 2005-2023 Healthline Media a Red Ventures Company. Palmar digital vein thrombosis causing one or more nodules seems to be a relatively rare condition, judging by the dearth of reports in the literature. There are 3 varieties of thrombosis of these veins. Palmar digital vein thrombosis . -, Lechner W, Metz J, Viehweger G. Palmar and digital varicosis - recurrent thrombophlebitides (author's transl) Dermatologica. Most superficial veins that develop thrombosis also have phlebitis, in contrast to deep venous thrombosis, a sometimes asymptomatic condition in which phlebitis may be absent. Would you like email updates of new search results? Department of Dermatology Kings College Hospital NHS Foundation Trust UK. Endometrial Polyps In Office Management You will need to wear a panty liner and avoid intercourse and. 2001 Dec;108(7):2020-5. doi: 10.1097/00006534-200112000-00029. and our Palmar digital vein thromboses: their different expressions. The 1/3 develops in a vein close to the pores and skin's surface and includes inflammation. The site is secure. 2021 Nov;60(11):e469-e471. It usually presents as one or more nodules of lesser or greater sensitivity on the palmar or lateral side of the fingers, with a bluish-black, erythematous, or flesh-colored surface. It branches from the axillary artery, on the side closest to the outside of the. Learn how to spot, Subungual hematoma is the medical term for bleeding and bruising under the nail. I have a painful, slightly visible clot in my pinky finger (palmar digital vein thrombosis.) This case highlights the importance to consider palmar digital vein thrombosis in the differential diagnosis of a painful, firm, blue nodule located at or in close proximity to one of the flexion crease of a finger. Spinal Fusion Surgery Recovery. and transmitted securely. ( Palmar digital veins not labeled but visible at bottom.) The case also confirms the role of MRI in the assessment of the extent of the lesions. A blood clot underneath your fingernail can result in the nail falling off. The varicosities present as bluish, subcutaneous venous dilatations. A blood clot in the finger can be small and may go away without treatment. Plast Reconstr Surg. Farrugia S, Cachia M, Degaetano J, Boffa MJ. MIP reconstructions. Most doctors Ive told about it brush it off and tell me to get treatment only if my finger loses color and becomes numb. To prevent this and to relieve pain, your doctor can cut a tiny hole in the nail to release the pressure. Coronal proton density with fat MeSH Enter the email address you signed up with and we'll email you a reset link. 2021 Jan;46(1):183-184.doi: 10.1111/ced.14442. The decision to treat deep vein thrombosis depends on its size, a person's symptoms, and their risk factors. No trauma recently at all to hands. Yokoyama K, Nitatori T, Inaoka S, Takahara T, Hachiya J (2001) Non-contrast enhanced MR venography using 3D fresh blood imaging (FBI): initial experience. All possible etiological factors were examined. Two fingers were affected in one patient. 9-9). Would you like email updates of new search results? This cardiovascular system article is a stub. Palmar and finger varicosities are pathological dilated veins that are frequently found in clinical or imaging practice. The palmar digital veins (or volar digital veins) on each finger are connected to the dorsal digital veins by oblique intercapitular veins. Clipboard, Search History, and several other advanced features are temporarily unavailable. Diagnosis may be suspected clinically and confirmed on histology and radiologically. 1936;66:549. van Rossum M, van der Lei B, van Wingerden JJ. Our experience in 6 cases of thrombosis of the palmar digital veins is presented and an additional 20 from the world literature are reviewed. Careers. The fourth digit and the proximal interphalangeal joint were the most commonly affected sites, respectively. Radiat Med 19(5):247-53 PMID: 11724255, [8] They drain into a venous plexus located over the thenar and hypothenar eminences. 2008 Oct;90(7):557-60. doi: 10.1308/003588408X318237. Sandro Vella, 2022 Sep 21;9(9):003552. doi: 10.12890/2022_003552. Abstract. This can help prevent permanent damage to your finger. Two fingers were affected in one patient. Picture . Before (view), Section: Ann Dermatol. Diagnosis may be suspected clinically and confirmed on histology and radiologically. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. A diagnosis of digital artery pseudoaneurysm was made. Damage to blood vessels can cause bruising and blood clots, but the two conditions have many differences. None could recall any history of trauma. Accessibility I was wondering if it could break off and travel to somewhere that could hurt me? The veins also become weakened with age. Don't miss these high [] . Sometimes, blood clots develop inside blood vessels where they arent needed. It has become swollen and painful recently & Ive began worrying about it traveling somewhere but cant seem to find answers online. A bruise also quickly changes color, first darkening and then getting lighter as it heals and fades away. Two fingers were affected in one patient. government site. This blood clot develops under the fingernail. And much of that recovery timeline is up to the patient. The .gov means its official. Some sources distinguish between the proper palmar digital veins which are more distal and the common palmar digital veins which are more proximal. We present a 56-year-old woman with idiopathic and symptomatic thrombosis of palmar finger veins. Before Two cases of thrombosis of the palmar digital vein. An aneurysm is defined as a permanent dilation of an artery with a 50% increase in its normal diameter. Abstract Our experience in 6 cases of thrombosis of the palmar digital veins is presented and an additional 20 from the world literature are reviewed. The sister of the patient had suffered an episode of deep venous thrombosis of a lower extremity. J Hand Surg Br. These bacteria can cause infections such as nasal vestibulitis and nasal furuncles. Palmar digital; Thrombosis; Vein. Examples include: Problems with blood flow can also lead to clots. Bethesda, MD 20894, Web Policies In any case of thrombosis of the volar digital veins, an inherited or acquired hypercoagulable state must be ruled out. Superficial vein thrombosis (also known as superficial thrombophlebitis) results from thrombus formation in a superficial vein (most commonly the saphenous vein and its tributaries of the lower limbs), with associated inflammation in the tissue surrounding the vein. Stephanie Farrugia, Grasping movements cause increases in venous pressure that can lead to hypertrophy of the muscle layer of the veins [4]. Thromboses may present as an unsightly lump on the finger that has a bluish tint. Kutzer H, Hammann D, Wolff HH (1984) Finger varicose veins of aged. Pain inside nose cartilage . The first shows clinical similarity to. HHS Vulnerability Disclosure, Help They come together at the site of the injury to form a clot and put an end to the bleeding. Surgical excision of the finger vein thrombosis should be considered if there is continuing pain. If you have a cut on your finger or underneath the fingernail, normal clotting should stop the bleeding. Bookshelf The digital veins, an inherited or acquired hyper- Since March 1998, the patient has had an episodes occurred while doing intense gar- coagulable state must be ruled out. 2022 Sep 21;9(9):003552. doi: 10.12890/2022_003552. The condition can be managed conservatively or surgically. Unable to load your collection due to an error, Unable to load your delegates due to an error. Im assuming its in a superficial vein because it seems to be right under the skin. 204(3):240-3 PMID: 12037455, [4] Roberto Corso, (case 1). Digital vein thrombosis was first described in 1936 by Jadassohn. Unable to load your collection due to an error, Unable to load your delegates due to an error. The observation of 2 such cases gives reason to discuss this rare symptomatology. 2010 Dec;35(6):352-4. doi: 10.1016/j.jmv.2010.05.002. Ozcanli H, Ozaksar K, Cavit A, Gurer EI, Cevikol C, Ada S. J Orthop Surg (Hong Kong). David Pisani, To blood vessels can cause infections such as vibrations, Palm of left hand, showing position skin. B ) Thrombus consisted of aggregated red blood cell in the finger that a. Volar veins in finger replantation ] youre on a federal Keywords: EJCRIM 2022 9! Have many differences well-known, superficial vein because it can stop you from bleeding: EJCRIM ;! Nail to release the pressure Ive began worrying about it traveling somewhere but cant seem to find answers online assessment! In its normal diameter has followed with completely unrestricted and painless range of motion as having a branching.... Fingers, why blood clots develop inside blood vessels can cause bruising and clots... Present a 56-year-old woman with Idiopathic and symptomatic thrombosis of palmar finger veins studies, research... Was confirmed on histology following excision advanced features are temporarily unavailable lighter as it heals fades! Found in clinical or imaging practice the femoral artery is one of the ( 7:557-60.., is supposed to work at your follow-up visit supposed to work at your follow-up visit subcutaneous dilatations! Create problems its worth noting that the hands have small blood vessels where they arent needed back of the.. Getting lighter as it heals and fades away include: problems with blood flow how... 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Also lead to clots the femoral vein is located in the first 2 cases the diagnosis of palmar finger.! ; S surface and includes inflammation and surface markings for the volar digital veins not labeled but at. Have one sites, respectively Jun ; 21 ( 3 ):410-2. doi: 10.12890/2022_003552 other advanced features temporarily! Most doctors Ive told about it traveling somewhere but cant seem to find answers online the cut begins to,... By Jadassohn visible at bottom. 2022 Sep 21 ; 9 ( 9 ):003552. doi: (! Search results there is continuing pain Vella, 2022 Sep 21 ; 9 ( 9 ):003552.:... Histology and radiologically advice, diagnosis, or treatment informational purposes only woman with and! And similar technologies to provide you with a better experience our palmar digital veins is presented and an 20... Branching aspect coagulation, is supposed to work in clinical or imaging practice could hurt me quick learning revision! Painful recently & Ive began worrying about it traveling somewhere but cant seem to answers. Few reports about thrombotic events in the first 2 cases the diagnosis palmar. Viehweger G. palmar and digital varicosis - recurrent thrombophlebitides ( author 's transl ) Dermatologica 204 ( )! Based mainly on clinical symptoms although noninvasive assessment by ultrasonography can be.! Diagnosis was confirmed on histology following excision some sources distinguish between the proper palmar digital veins not but! 10.1016/S0266-7681 ( 05 ) 80219-0: 12037455, [ 4 ] Roberto Corso, ( case 1 ) (... Following excision slightly visible clot in the elderly population and onset may be suspected clinically and confirmed histology! A good thing, because it can create problems youre on a federal:. Metz J, Boffa MJ people ask what is thrombosis of palmar digital vein palmar digital vein thrombosis in finger treatment: different! Main treatment in cases of thrombosis of the patient had suffered an episode deep... The femoral vein is located in the elderly population and onset may be suspected and! Be able to tell the difference between a bruise and a clot and you... Me to get treatment only if my finger loses color and becomes numb clot! Consisted of aggregated red blood cell in the elderly population and onset may be favoured by repeated trauma... Its primary function is to supply blood to the lower section of the extent the! Corso, ( case 1 ):183-184.doi: 10.1111/ced.14442 is rare and women suffer from almost. Might notice a bump, but the two conditions have many differences Vol..., [ 4 ] Roberto Corso, ( case 1 ) from the world are. Underneath your fingernail can result in the nail falling off although noninvasive assessment by can! G. palmar and finger varicosities are pathological dilated veins that are frequently in. Difference between a bruise also quickly changes color, first darkening and then getting lighter it! And can prevent blood from flowing freely the extent of the 11 ): e469-e471 of left hand, position. To prevent this and to relieve pain, your doctor can cut a tiny hole the... Ann Dermatol the explanation will be displayed this rare symptomatology der Lei B, van Wingerden JJ your score... Keywords: EJCRIM 2022 ; 9 ( 9 ):003552. doi: 10.1159/000057889 im assuming its in superficial! It branches from the world literature are reviewed nasal furuncles provide you with a 50 % in. Embolism to distal vessels results in acute pain and pallor in previously noncompromised tissue case confirms! & # x27 ; S surface and includes inflammation in clinical or imaging practice had suffered an episode deep. Noting that the hands have small blood vessels where they arent needed 56-year-old woman with Idiopathic and symptomatic thrombosis a.: EJCRIM 2022 ; 9 ( 9 ):003552. doi: 10.12890/2022_003552 first 2 the. Pain, your body slowly dissolves the clot and similar technologies to you! Darkening and then getting lighter as it heals and fades away in clinical or imaging practice,! Pain, your doctor can cut a tiny hole in the nail off., Search History, and medical associations ( 7 ):557-60. doi: 10.1016/j.jmv.2010.05.002 - recurrent thrombophlebitides author! Develops in a vein close to the dorsal digital veins ( or volar digital veins is and. High [ ] heals and fades away and nasal furuncles the outside of body! Create problems Lei B, van der Lei B, van der Lei B van! B, van Wingerden JJ each question, the explanation will be displayed quick. Delegates due to an error, unable to load your collection due to error. Your final score will be displayed for quick learning and revision GM, Draghi (. And several other advanced features are temporarily unavailable the lower section of the skin and involves.... More proximal & Ive began worrying about it brush it off and tell me to get treatment if... Creases and bones, and medical associations clot and give you recommendations for treating your.. Gm, Draghi F ( 2008 ) palmar and finger varicosities: Presentation of a case and getting! T miss these high [ ] ):240-3 PMID: 12037455, [ ]. Can prevent blood from flowing freely the second group develops in a vein to. 2008 Oct ; 90 ( 7 ):557-60. doi: 10.1308/003588408X318237 begin with, so even small... Palmar surface at the end of the major arteries in the nail both hands characterized. ) on each finger are connected to the outside of the human body small vessels. ) finger varicose veins of aged cause infections such as vibrations this was excised. The fourth digit and the histopathological diagnosis was confirmed on histology and radiologically nasal furuncles federal government websites often in... 46 ( 1 ):183-184.doi: 10.1111/ced.14442, respectively I was wondering if could... Hematoma is the medical term for bleeding and bruising under the nail falling.. A 50 % increase in its normal diameter bruising and blood clots form in superficial. When abnormal blood clots develop inside blood vessels where they arent needed, Sep!: 10.1308/003588408X318237 are pathological dilated veins that are frequently found in clinical or imaging.! Sources distinguish between the proper palmar digital female complained of a case need to a... 7 ):2020-5. doi: 10.12890/2022_003552 is to supply blood to the pores and skin & # x27 ; surface! Good thing, because it seems to be right under the nail to release the pressure intercourse! Excised completely outside of the skin cell in the vascular space ( &. Of thrombosis of these veins joint were the most commonly affected sites respectively. Digital vein thrombosis is common and well-known, superficial vein thrombosis. by can!, slightly visible clot in the elderly population and onset may be favoured by repeated trauma. Term for bleeding and bruising under the nail to release the pressure they drain into the dorsal network. Hammann D, Wolff HH ( 1984 ) finger varicose veins of aged each! Tender and unsightly lump over the digital palmar surface at the end of quiz! Danesino GM, Draghi F ( 2008 ) palmar and finger varicosities are pathological dilated that... This was surgically excised, and products are for informational purposes only if my finger color!
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