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4 Therapeutic strategy Given the elevated risk of cardiac complications following AIS, active cardiovascular monitoring is imperative

4 9 , 15 21 It is crucial to highlight that, while black cumin has a long history of traditional use and promising preliminary study, more extensive research is required to completely understand its possible health effects and establish its safety and efficacy

Other causes include melanocytic activation due to either systemic (pregnancy, hyperthyroidism, HIV infection, Addison's disease, nutritional deficiencies, certain drugs) or local (chronic paronychia, onychomycosis, psoriasis, lichen planus) aetiologies
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Occupational exposure to arsenic occurs in the smelting industry and during the manufacture of pesticides, herbicides, and other agricultural products
