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"We were seeing young children who had accidentally swallowed melatonin, and adolescents who presented after consuming melatonin in an attempt to self-harm," Toce told BBC Future

These children inherit one non-working gene for the condition from each parent

Complement Ther Med 21 , 141146, (2013)
Occasional tumors may exhibit multifocal pigmentation due to the presence of melanotic and amelanotic areas within the same lesion