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This may create a circular logic loop, wherein elevated creatinine kinase and elevated creatinine are both measuring the same thing (muscle injury)

Melanin pigment is often present in the cytoplasm of keratinocytes at all layers of the epidermis, including the stratum granulosum and corneum (not to be confused with melanocytes)

Tan et al., 2010

Fluorescent probes for conformational states of proteins

Interestingly, for antimalarials amodiaquine, chloroquine, and mepacrine, transverse melanonychia may be attributable to either melanin production or more commonly ferric dyschromia [2]

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