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Pathology Light microscopy shows a normally configured epidermis with a slightly increased melanin content in the basilar keratinocytes
On the basis of this result, the authors recommended complete excision of the bullae and meticulous histological examination of the surgical piece to rule out potential neoplastic foci
The FDA has explicitly warned that botulinum toxin products from outside the approved US supply chain including those marketed as research grade or sourced from overseas compounders are not approved for human use and present serious risk of systemic botulism, which can cause difficulty breathing, swallowing, and speaking, and can be fatal
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