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Trichorrhexis nodosa acquired hypothyroidism: Trichorrhexis Nodosa (Hair Breakage)

In other conditions like hypothyroidism, daily doses of 0. You must be logged in to post a comment.

Ethan Walker
Sunday, February 12, 2017
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  • Chemical : All chemical relaxers and permanent waves damage the hair shaft, making hair more fragile.

  • Trichorrhexis nodosa TN is a hair shaft disorder affecting all ethnicities 1.

  • We enquired about his comb and combing habits. Non-ionic or amphoteric surfactants are better suited for hair shaft disorders as they are gentler and are more helpful in retaining moisture

INTRODUCTION

MedlinePlus : Trichorrhexis may have a genetic basis but appears to be precipitated by environmental factors. Body odor Chromhidrosis Fox—Fordyce disease. Unsure whether or not you have TN?

The chances of acquiring this disorder increases if you have a hair structure disorder or have medical conditions like a multisystem disorder trichothiodystrophytrichorrhexis nodosa acquired hypothyroidism impairment, or abnormal thyroid levels hypothyroidism 7—9. Shampooing frequently also depends on your hair type and hair condition. Treatment can be difficult in cases where there are multiple diseases or conditions that co-occur with TN. Improvements in grooming techniques and in environmental conditions will correct the abnormality. Individuals with this disorder usually have fragile or easy to break hair due to cuticle loss loss of the outer hair shaft layer 2. An expert can then make a diagnosis based how this broken hair looks under a microscope 3.

  • Figure 1. The repeated friction that occurs in the combing process may be a reason for cuticular disruption, breakage of the hair shaft at periodic intervals and fraying of the ends.

  • Diagnosis of trichorrhexis nodosa is fairly straightforward.

  • Hair Coloring.

Microscopy of normal hair is shown for comparison qcquired Figure 7 ]. Hair breakage in trichorrhexis nodosa acquired hypothyroidism and weathered hair: focus on the black patient. Home Calendar Contact Us. The damaged hair samples were collected for light microscopic examination which showed breaks of the hair shaft at irregular intervals with fraying of the cut edges.

If you have any questions in regards to your hair shaft disorder, speak with your hair transplant physician or specialist. From Wikipedia, the free encyclopedia. Avoid aggressive brushing and grooming, strong chemicals, permanents, straightening, and similar hair-damaging habits. Retrieved 27 April Categories : Conditions of the skin appendages. The tug test can also be used to help identify this disorder.

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ICD - 10 : L For example, argininosuccinic aciduria acqjired the hair of arginine, making it susceptible to breakage and more likely to develop growths. Toronto East Maintaining a regular cleansing routine is important to remove styling aids, dirt, and dust and is a great first step to healthy hair

Acquired hypothyroidism with this disorder usually have fragile or easy to break hair due to cuticle loss loss of the outer hair shaft layer 2. Frequent heat blow drying or straighteningexcessive brushing, chemical relaxation and even scratching can lead to acquired TN 4—6. Hair breakage in normal and weathered hair: focus on the black patient. The comb was made of plastic, had a round base with a slot to slip the fingers in for gripping. Figure 5.

Hair Coloring. Tinea capitis: Focus on African-American women. Partnership Become a partner today! Loussouarn G. Case of acquired trichorrhexis nodosa: Scanning electron microscopic observation. He combed his hair often, which averaged about times a day.

Folliculitis Folliculitis nares perforans Tufted folliculitis Pseudofolliculitis barbae Hidradenitis Hidradenitis suppurativa Recurrent palmoplantar hidradenitis Neutrophilic eccrine hidradenitis. ISBN Hidden categories: Trichorrhsxis with short description Short description matches Wikidata All articles with unsourced statements Articles with unsourced statements from April Perioral dermatitis Granulomatous perioral dermatitis Phymatous rosacea Rhinophyma Blepharophyma Gnathophyma Metophyma Otophyma Papulopustular rosacea Lupoid rosacea Erythrotelangiectatic rosacea Glandular rosacea Gram-negative rosacea Steroid rosacea Ocular rosacea Persistent edema of rosacea Rosacea conglobata variants Periorificial dermatitis Pyoderma faciale.

References

In contrast, most congenital forms of the disease develop much sooner in life. Once diagnosed, physicians must determine the cause. Unsure whether or not you have TN? Medical condition. In most cases, there is no initial weakness of the hair and the condition develops through constant damage to the shafts.

Trichorrhexis nodosa acquired hypothyroidism 7. Hair and Hair Care. Hair loss can have a substantial psychological impact on both men and women and is When the cuticle disappears, the exposed fibers separate and start to fray, looking a little like crushed paint brushes when magnified under the microscope 3. Hair breakage in normal and weathered hair: focus on the black patient. In: Johnson D, editor. J Dermatol.

The patient had no systemic medical illnesses and there was no family history of similar illness. You should be able to distinguish these shortened hairs from layered hair styles as they typically have blunter ends. Partnership Become a partner today! The hair was lusterless and dry. Follow on Instagram.

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Hair Coloring. A distinctive comb used by individuals and a distinct combing habit are implicated as aetiologic factors for the trichorrhexis. Trichorrhexis nodosa is a hair shaft disorder often encountered in clinical practice. Hoshowski MA.

Even though this condition can appear as early as birth congenital TNNidosa is more frequently developed later in life, as a result of hair styling habits. When the cuticle disappears, the exposed fibers separate and start to fray, looking a little like crushed paint brushes when magnified under the microscope 3. Andrews' Diseases of the Skin: Clinical Dermatology. Sebaceous hyperplasia.

Namespaces Hypothyroidusm Talk. Disorders of skin appendages. Similarly, the presence of significant malnutrition or medical disorders like hypothyroidism may deprive the hair of nutrients and create scenarios in which trichorrhexis nodosa is more likely to occur. Doctors might want to screen for other problems like malnutrition, hypothyroidism, or poor synthesis of certain body proteins and chemicals. Add links.

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Toronto East Unsure whether or not you have TN? Download as PDF Printable version. In other conditions like hypothyroidism, daily doses of 0. Views Read Edit View history.

Curly haired individuals should limit shampooing to once a week as a greater shampoo frequency might increase the risk of hair breakage Tune in today for the SkinCeuticals Skincare Conv. Mobile Navigation. Cosmetics in blacks.

  • The comb was run over the scalp as vigorous strokes from the frontal aspect, brushed across the vertex and temporal aspects and ended at the occipital region, around times a day.

  • These conditions are directly related to environmental causes such as " perming ", blow dryingaggressive hair brushingand excessive chemical exposure. Add links.

  • Once diagnosed, alopecia areata treatment decisions will most likely depend in part on the severity

  • Once diagnosed, physicians must determine the cause.

  • You must be logged in to post a comment. Trichorrhexis nodosa TN is a hair shaft disorder affecting all ethnicities 1.

Cosmetic and medical causes of hair weathering. Figure 9. The trichorthexis had no systemic medical illnesses and there was no family history of similar illness. Learn More. In those suffering from additional conditions such as argininosuccinic aciduria an ammonia disorderspecialized diets have been prescribed with some success Congenital trichorrhexis nodosa is a congenital hair shaft anomaly inherited as an autosomal dominant trait.

Film-forming agents that are found in leave-in conditioners can help reduce static electricity, a cause of hair breakage 1. You should be able to distinguish these shortened hairs from layered hair styles as they typically have blunter ends. This disorder occasionally has a congenital cause, but it is more often acquired due to extensive damage to hair or sometimes to malnutrition or diseases like hyperthyroidism. Individuals with this disorder usually have fragile or easy to break hair due to cuticle loss loss of the outer hair shaft layer 2. Mississauga Vital to hair health, keratin must be present in sufficient amounts; otherwise hair will be weak, which may encourage the development of trichorrhexis nodosa.

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Non-ionic or amphoteric surfactants are better suited for hair shaft disorders as they are gentler and are more helpful in retaining moisture The authors report no conflict of interest. Figure 5. Localized TN, described by Raymond Sabouraud inis a rare disorder.

For example, argininosuccinic aciduria deprives the hair of arginine, making it susceptible to breakage and more likely to develop growths. For instance, hard brushing, noodsa, and perming the hair can cause nodes to develop. Help Learn to edit Community portal Recent changes Upload file. Trichorrhexis nodosa is a defect in the hair shaft characterized by thickening or weak points nodes that cause the hair to break off easily. Protein-containing conditioners could also strengthen your hair as they can help repair holes and defects within the hair shaft created by chemical or thermal styling techniques 1, Latest From The Blog. Follow US.

Maintaining a regular cleansing routine is important to remove styling aids, dirt, acquirex dust and is a great first step to trichorrhexis nodosa acquired hypothyroidism hair When the cuticle disappears, the exposed fibers separate and start to fray, looking a little like crushed paint brushes when magnified under the microscope 3. You should be able to distinguish these shortened hairs from layered hair styles as they typically have blunter ends. Please enter the following code:.

Related Posts via Taxonomies

This can mean using very soft brushes on the hair; forgoing the use of curling irons and blow dryers; and avoiding hair dye, straightening procedures, or perms. In contrast, most congenital forms of the disease develop much sooner in life. Curly haired individuals should limit shampooing to once a week as a greater shampoo frequency might increase the risk of hair breakage Add links.

From Wikipedia, the free trichorrhexis nodosa acquired hypothyroidism. In those suffering from additional conditions such as argininosuccinic aciduria an ammonia disorderspecialized diets have been prescribed with some success This suggests that long-term repeated damage to the hair through things like brushing or perming makes people more at risk for this disorder. Vital to hair health, keratin must be present in sufficient amounts; otherwise hair will be weak, which may encourage the development of trichorrhexis nodosa. Non-ionic or amphoteric surfactants are better suited for hair shaft disorders as they are gentler and are more helpful in retaining moisture Avoid aggressive brushing and grooming, strong chemicals, permanents, straightening, and similar hair-damaging habits.

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Patients also need to comply with behavioral changes so that the hair is not placed under stress. Treatment may then address any underlying causes and also work on tricohrrhexis hair stress to avoid the development of additional nodes. Conditioners can help prevent damage associated with daily grooming habits and can stop the progression of hair breakage 18, Tricia has a Literature degree from Sonoma State University and has been a frequent contributor for many years. You should be able to distinguish these shortened hairs from layered hair styles as they typically have blunter ends. The tug test can also be used to help identify this disorder.

Disorders of skin appendages. In a case study of an individual with nail disease co-occurring with TN, 8 weeks of minoxidil therapy was able to resolve TN and lead to increased hair density and hair length For instance, hard brushing, dying, and perming the hair can cause nodes to develop. Tricho-hepato-enteric syndrome : Microscopic analysis of the hair shaft showing breaks located at nodes in the hair trichorrhexis nodosa and longitudinal breaks. Categories : Conditions of the skin appendages. In those suffering from additional conditions such as argininosuccinic aciduria an ammonia disorderspecialized diets have been prescribed with some success Patients also need to comply with behavioral changes so that the hair is not placed under stress.

Furthermore, this acquired disorder may develop from malnutrition, particularly hypothyroidisn deficiency, or endocrinopathy hyperthyroidism as hypothyroidism. Localized TN, described by Raymond Sabouraud inis a rare disorder. However, localized variants have not been reported in literature. Scratching and rubbing most likely are the ultimate causes. How do I know if I have trichorrhexis nodosa?

  • Dawber R.

  • Improving environmental factors will reduce damage to the hair. Non-ionic or amphoteric surfactants are better suited for hair shaft disorders as they are gentler and are more helpful in retaining moisture

  • Scott DA Disorders of the hair and scalp in blacks.

  • Skip to main content. Microscopic examination of hair samples with a scanning electron microscope showed the characteristic paintbrush fracture Figure 2.

  • Mississauga Protein-containing conditioners could also strengthen your hair as they can help repair holes and defects within the hair shaft created by chemical or thermal styling techniques 1,

Trichorrhexis nodosa TN is a hair shaft disorder affecting all ethnicities 1. In most cases, there is no initial weakness of the hair and the condition develops through constant damage to the shafts. Nonetheless, individuals with TN should avoid shampoos that contain anionic surfactants as they can make hair follicles more prone to breakage 1, You should be able to distinguish these shortened hairs from layered hair styles as they typically have blunter ends. Diagnosis of trichorrhexis nodosa is fairly straightforward. Toronto East In contrast, most congenital forms of the disease develop much sooner in life.

Latest From The Blog. Address for correspondence: Dr. Even though this condition can appear as early acqyired birth congenital TNTN is more frequently developed later in life, as a result of hair styling habits. Localized TN, described by Raymond Sabouraud inis a rare disorder. Use of a gentle shampoo and conditioner also was recommended. Tune in today for the SkinCeuticals Skincare Conv.

In some cases, trichorrhexis nodosa may be caused by an underlying disorder such trichorrhexis nodosa acquired hypothyroidism argininosuccinic aciduriaMenkes' kinky hair syndromeNetherton's syndromehypothyroidismor trichothiodystrophy. Disease progression can be reduced by limiting hair shaft trauma such as decreasing the amount of time blow drying or brushing your hair. Disorders of skin appendages. Trichorrhexis nodosa is a defect in the hair shaft characterized by thickening or weak points nodes that cause the hair to break off easily. The tug test can also be used to help identify this disorder.

J Cosmet Sci ; However, in a subset trichirrhexis patients, trichorrhexis nodosa may be associated with syndromes like Menke's kinky hair syndrome, argininosuccinic aciduriatrichothiodystrophy and monilethrix. When a hair is gently tugged it will result in a broken hair fiber. We enquired about his comb and combing habits. The authors report no conflict of interest. Dermatol Clin ; Hair and scalp disorders in ethnic populations.

Acquired trichorrhexis nodosa is a well established entity in medical literature. Drying : Because of its curly nature, African hair is not readily uypothyroidism with natural scalp oil. Follow US. Consider wearing hair in its natural state as avoidance of heat and chemicals is optimal to allow your hair to recover. InSamuel Wilks of Guy's Hospital first described the condition, although the term trichorrhexis nodosa was not proposed until by M.

Frequent heat blow drying or straighteningexcessive brushing, trichorrhexis nodosa acquired hypothyroidism relaxation and even scratching can lead to acquired TN 4—6. Views Read Edit Hylothyroidism history. Addressing any underlying causal factors, when possible, partially treats the disease. In almost all cases where this condition is due to congenital causes, the link is indirect. If you have any questions in regards to your hair shaft disorder, speak with your hair transplant physician or specialist.

Connect with us on social media! A Sure Hair representative can suggest which shampoo brands are ideal for you as product labels may not use these terms. Swick, MD Lichen planopilaris LPP is a chronic, progressive, scarring alopecia that clinically presents as patchy or diffuse hair loss. McMichael, AJ. When a hair is gently tugged it will result in a broken hair fiber. Conflict of Interest: None declared.

Conditioners can help prevent damage associated with daily grooming habits and can stop the progression of hair breakage 18, Maintaining a regular cleansing routine is important to remove styling aids, dirt, and dust and is a great first step to healthy hair In cases of trichorrhexis nodosa attributable to trauma, hair analysis shows cuticular cell disruption, which allows the underlying cortical fibers to separate and fray. Film-forming agents that are found in leave-in conditioners can help reduce static electricity, a cause of hair breakage 1. Scratching and rubbing most likely are the ultimate causes. Dawber R.

This can mean using very soft brushes on the hair; forgoing the use of curling irons and blow dryers; and avoiding hair dye, straightening procedures, or perms. Perioral dermatitis Granulomatous perioral dermatitis Teichorrhexis rosacea Rhinophyma Blepharophyma Gnathophyma Metophyma Otophyma Papulopustular rosacea Lupoid rosacea Erythrotelangiectatic rosacea Glandular rosacea Gram-negative rosacea Steroid rosacea Ocular rosacea Persistent edema of rosacea Rosacea conglobata variants Periorificial dermatitis Pyoderma faciale. Tricho-hepato-enteric syndrome : Microscopic analysis of the hair shaft showing breaks located at nodes in the hair trichorrhexis nodosa and longitudinal breaks. Nonetheless, individuals with TN should avoid shampoos that contain anionic surfactants as they can make hair follicles more prone to breakage 1,

Author information Copyright and License information Disclaimer. Check out our latest blog about how the media is t. The clinical examination and light microscopic findings in case 2 and case 3 were similar to case 1.

Hirsutism Acquired localised generalised patterned Congenital generalised localised X-linked Prepubertal. Individuals with this disorder usually have fragile or easy to break hair due to cuticle loss loss of the outer hair shaft layer 2. Gentle brushing with a soft brush should replace more aggressive brushing, ratting, or other procedures. Acrokeratosis paraneoplastica of Bazex Acroosteolysis Bubble hair deformity Disseminate and recurrent infundibulofolliculitis Erosive pustular dermatitis of the scalp Erythromelanosis follicularis faciei et colli Hair casts Hair follicle nevus Intermittent hair—follicle dystrophy Keratosis pilaris atropicans Kinking hair Koenen's tumor Lichen planopilaris Lichen spinulosus Loose anagen syndrome Menkes kinky hair syndrome Monilethrix Parakeratosis pustulosa Pili Pili annulati Pili bifurcati Pili multigemini Pili pseudoannulati Pili torti Pityriasis amiantacea Plica neuropathica Poliosis Rubinstein—Taybi syndrome Setleis syndrome Traumatic anserine folliculosis Trichomegaly Trichomycosis axillaris Trichorrhexis Trichorrhexis invaginata Trichorrhexis nodosa Trichostasis spinulosa Uncombable hair syndrome Wooly hair nevus.

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Acquried contrast, most congenital forms of the disease develop much sooner in life. Improving environmental factors will reduce damage trichorrhexis nodosa acquired hypothyroidism the hair. Treatment may then address any underlying causes and also work on minimizing hair stress to avoid the development of additional nodes. Namespaces Article Talk. Vital to hair health, keratin must be present in sufficient amounts; otherwise hair will be weak, which may encourage the development of trichorrhexis nodosa.

Figure 2. Other : Frequent physical damage from combing, hyperthyroidism, hhypothyroidism, or excessive scalp massage, can also cause hair breakage. The hairs over the rest of the scalp were normal. Patient Dermatology Education. Conflict of Interest: None declared. Lichen planopilaris LPP is a primary cicatricial alopecia that rarely presents in a linear distribution.

Facebook Twitter Instagram. Limit physical stress to the hair e. A 19 year old engineering graduate presented with an identical hair shaft defect on the temporal aspects of the scalp. Load More Latest News.

We enquired about his comb and combing habits. Trichorrhexis trichorrhdxis is a disorder of the hair shaft acquired hypothyroidism by easy breakability of hair and microscopically by nodes on the hair shaft 1. CASE 3 A 19 year old engineering graduate presented with an identical hair shaft defect on the temporal aspects of the scalp. Open in a separate window.

Non-ionic or amphoteric surfactants are better suited for hair shaft disorders as they tricgorrhexis trichorrhexis nodosa acquired hypothyroidism and are more helpful in retaining moisture Hirsutism Acquired localised generalised patterned Congenital generalised localised X-linked Prepubertal. As mentioned, hard treatment of the hair is almost always at least partially responsible. Add links. This condition is self-limiting.

Address for correspondence: Dr. He too reported repeated trichorrhexis nodosa acquired hypothyroidism of his hair, often during a day and soon after he got off his motorbike to set the ruffled hairs [ Figure 5 ]. Cosmetics in blacks. It occurs in a patch that is usually a few centimeters long. Farah, MD Nkanyezi N.

Categories : Conditions of the skin appendages. The hair should not be ironed. In other conditions like hypothyroidism, daily doses of 0. Recovery can be challenging, taking two to four years, and some underlying congenital conditions might make it very hard to completely cure this disorder. MedlinePlus :

Sorry, your blog cannot share posts by email. In: Halder R, editor. African hair growth parameters. Latest News. The observations under the light microscope were similar in both cases. CASE 3 A 19 year old engineering graduate presented with an identical hair shaft defect on the temporal aspects of the scalp. The author feels that this is an optical phenomenon and that it is due to diffraction of light by the air trapped in the frayed ends of the shaft or at the nodes.

This condition is not dangerous but may affect self-esteem. Trichorrhexis nodosa TN is a hair shaft disorder affecting all ethnicities 1. Diagnosis of trichorrhexis nodosa is fairly straightforward. For instance, hard brushing, dying, and perming the hair can cause nodes to develop. Login: Forgot password?

Conditioners can help prevent damage associated with daily grooming habits and can stop acquired hypothyroidism progression of hair breakage 18, Hair conditioners should be used. From Wikipedia, the free encyclopedia. In almost all cases where this condition is due to congenital causes, the link is indirect. Hair shaft fracture [1]. Hidden categories: Articles with short description Short description matches Wikidata All articles with unsourced statements Articles with unsourced statements from April

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Sebaceous hyperplasia. Perioral dermatitis Granulomatous perioral dermatitis Phymatous rosacea Rhinophyma Blepharophyma Gnathophyma Metophyma Otophyma Papulopustular rosacea Hypothyroidism rosacea Erythrotelangiectatic rosacea Glandular rosacea Gram-negative rosacea Steroid rosacea Ocular rosacea Persistent edema of rosacea Rosacea conglobata variants Periorificial dermatitis Pyoderma faciale. Body odor Chromhidrosis Fox—Fordyce disease. Hair conditioners should be used. Tricia lives in Northern California and is currently working on her first novel.

Rogers M. Figure 5. No hair style should ever be painful. The condition was bilaterally symmetrical and asymptomatic. Latest News. Australas J Dermatol. The classic description is known as paintbrush fracture.

Among Caucasians the defect often appears at the ends of the hair shaft with splitting of nodoaa ends, thinning and whitish discoloration. Toronto East Andrews' Diseases of the Skin: Clinical Dermatology. Improvements in grooming techniques and in environmental conditions will correct the abnormality. Harsh chemicals such as hair straightening compounds and permanents should be avoided.

When treating TN the main goal is to protect the hair shaft and minimize further damage 1. In other conditions like hypothyroidisk, daily doses of 0. Loussouarn G. Hair and Hair Care. Tinea capitis: Focus on African-American women. The involved hairs develop the characteristic nodes that break within a few centimeters from the scalp, especially in areas subject to friction from combing or sleeping. Treatment is aimed at minimizing mechanical and physical injury, and chemical trauma.

Requirements in cosmetics for black skin. National Center for Biotechnology InformationU. A distinctive comb used by individuals and a distinct combing habit are implicated as aetiologic factors for the trichorrhexis. African hair growth parameters. Figure 8.

If your scalp itches, anti-dandruff shampoos may be helpful, but these may noeosa dry out African hair. Abhay M. In all cases, diagnosis depends on careful microscopy examination and, if possible, scanning electron microscopy. The light microscopic characteristics of this hair shaft disorder have been studied and possible explanation for the shiny appearance of the hair shafts offered. Heat : Heated hair styling tools e. Cause Even in its natural state, African hair is more vulnerable to breakage.

Braided styles should trichorrhexis nodosa acquired hypothyroidism removed every weeks 8 to avoid accumulation of debris and locking which, when removed, can contribute to breakage. Ferguson, MD Brian L. Even though this condition can appear as early as birth congenital TNTN is more frequently developed later in life, as a result of hair styling habits. Delacerda, MD Rachel G.

In some cases, trichorrhexis nodosa may hypothyroifism caused by an underlying disorder such as trichorrhexis nodosa acquired hypothyroidism aciduriaMenkes' kinky hair syndromeNetherton's syndromehypothyroidismor trichothiodystrophy. Doctors might want to screen for other problems like malnutrition, hypothyroidism, or poor synthesis of certain body proteins and chemicals. Latest From The Blog. Mississauga These conditions are directly related to environmental causes such as " perming ", blow dryingaggressive hair brushingand excessive chemical exposure. Sometimes supplements are also prescribed to increase hair health. Shampooing frequently also depends on your hair type and hair condition.

Patient Dermatology Education. The condition was bilaterally symmetrical and asymptomatic. Figure 9. Dermatologists who see patients with hair fragility and inability to grow long hair should consider the diagnosis of TN.

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