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Additional pigmented areas with irregular shapes and poorly defined borders were noted on the left and right buccal mucosa

Las deficiencias secundarias de carnitina pueden ocurrir debido a ciertas enfermedades (por ejemplo, insuficiencia renal crnica) o causas (por ejemplo, el uso de ciertos antibiticos) que reducen la absorcin de carnitina o aumentan su excrecin

The pigmentary lesions are light to dark brown macules and patches that may be segmental and tend to be unilateral

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