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Some irregularly shaped or stippled pigmentation with smooth and flat appearance was noted on the nails of his left thumb and left little finger, although no longitudinal pigmented band was found on his fingernails or toenails (Figure 4c)

Clinical examination revealed a thin, built man with a height of 170 cm, weight of 60 kg, and BMI of 20.8 kg/m 2

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For weeks, Bialik could barely leave her house due to "explosive, uncontrollable diarrhea." She also had body aches, cramping, bloating, sulfur burps and "sneezing attacks" that struck any time she tried to eat or drink (a phenomenon known as snatiation)