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This causes greasy skin because it increases production of sebum, the oily substance secreted at the base of hairs to protect and lubricate the skin 2

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2,3 Stretching of the PIP volar plate can occur during disease progression, leading to hyperextension of the PIP and subsequent flexion of the DIP joints

[DOI] [PMC free article] [PubMed] [Google Scholar] 30.Giron-Arango L., Perlas A