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Furthermore, Black and Hispanic individuals are often diagnosed with more aggressive types of melanoma, including acral and mucosal melanoma

Another caveat is if a superficial shave biopsy leaves the assessment of depth of atypia in question and, thus, a possibility of melanoma, then complete excision is indicated

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For example, those with vitiligo may be at an increased risk of developing other autoimmune diseases, such as: type 1 diabetes pernicious anemia Addison disease thyroiditis systemic lupus erythematosus alopecia areata psoriasis lichen sclerosus In people with vitiligo, 1525% have at least one other autoimmune disease