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The presence of metabolic syndrome was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria, as previously reported 37

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The differential diagnosis includes ETN, TNPM, congenital candidiasis, and folliculitis

The MT-II safety case-report literature includes systemic toxicity with rhabdomyolysis (Nelson 2012) [9] , renal infarction (Peters 2020) [10] , multiple priapism cases requiring urological intervention (Brun 2019, Habous 2021) [11] [12] , eruptive dysplastic nevi, at least four documented melanoma diagnoses temporally associated with use (Paurobally 2011, Hjuler 2014) [13] [14] , and a 2009 Norwegian Adverse Drug Reactions Report case of sepsis with lung abscess and gluteal abscess with Staphylococcus aureus bacteremia following self-injection