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As a matter of fact, recent reports showed that in PXE patients MVP occurrence rate is about 4.5%, which is not significantly higher than the general population, although the histopathological findings are characteristic of the underlying alterations inherited in this syndrome (23)
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Secondary carnitine deficiency is more common and is usually associated with dialysis in chronic renal failure, although it can also be induced by intestinal resection, severe infection, and liver disease
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