{"id":13995,"date":"2023-09-25T19:10:56","date_gmt":"2023-09-25T14:10:56","guid":{"rendered":"https:\/\/healthwire.pk\/healthcare\/?p=13995"},"modified":"2023-10-24T13:17:15","modified_gmt":"2023-10-24T08:17:15","slug":"toasted-skin-syndrome","status":"publish","type":"post","link":"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/","title":{"rendered":"How to Keep Your Skin Safe from Toasted Skin Syndrome?"},"content":{"rendered":"\n<p>You spend a cozy evening chilling and watching Netflix on your laptop, binge-watching your favorite TV series. You have the laptop on your legs for hours. When you finally get up, you notice something peculiar on your skin. It&#8217;s red, almost like a sunburn. It feels warm, and you can&#8217;t shake off the uncomfortable sensation. This phenomenon is the &#8220;toasted skin syndrome,&#8221; but it&#8217;s not as harmless as it may sound.&nbsp;<\/p>\n\n\n\n<p>Let\u2019s explore this skin condition, why it happens, and what you can do about it.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_17 counter-hierarchy counter-decimal ez-toc-grey\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" style=\"display: none;\"><i class=\"ez-toc-glyphicon ez-toc-icon-toggle\"><\/i><\/a><\/span><\/div>\n<nav><ul class=\"ez-toc-list ez-toc-list-level-1\"><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#what_is_toasted_skin_syndrome\" title=\"What is Toasted Skin Syndrome?\">What is Toasted Skin Syndrome?<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#what_are_the_causes_of_toasted_skin_syndrome\" title=\"What are the Causes of Toasted Skin Syndrome?\">What are the Causes of Toasted Skin Syndrome?<\/a><ul class=\"ez-toc-list-level-3\"><li class=\"ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#laptop_use\" title=\"Laptop Use\">Laptop Use<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#heating_pads\" title=\"Heating Pads\">Heating Pads<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#fireplace_or_space_heaters\" title=\"Fireplace or Space Heaters\">Fireplace or Space Heaters<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#car_seat_heaters\" title=\"Car Seat Heaters\">Car Seat Heaters<\/a><\/li><\/ul><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#what_are_the_symptoms_of_toasted_skin_syndrome\" title=\"What are the Symptoms of Toasted Skin Syndrome?\">What are the Symptoms of Toasted Skin Syndrome?<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#are_there_any_complications_associated_with_toasted_skin_syndrome\" title=\"Are there any Complications Associated with Toasted Skin Syndrome?&nbsp;\">Are there any Complications Associated with Toasted Skin Syndrome?&nbsp;<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#how_can_you_treat_toasted_skin\" title=\"How Can You Treat Toasted Skin?&nbsp;\">How Can You Treat Toasted Skin?&nbsp;<\/a><ul class=\"ez-toc-list-level-3\"><li class=\"ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#discontinue_heat_exposure\" title=\"Discontinue Heat Exposure\">Discontinue Heat Exposure<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#topical_creams\" title=\"Topical Creams\">Topical Creams<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#moisturize\" title=\"Moisturize\">Moisturize<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#skin_cancer_screening\" title=\"Skin Cancer Screening\">Skin Cancer Screening<\/a><\/li><\/ul><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#what_are_the_surgical_options_for_toasted_skin\" title=\"What are the Surgical Options for Toasted Skin?&nbsp;\">What are the Surgical Options for Toasted Skin?&nbsp;<\/a><ul class=\"ez-toc-list-level-3\"><li class=\"ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#skin_resurfacing\" title=\"Skin Resurfacing\">Skin Resurfacing<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#skin_grafting\" title=\"Skin Grafting\">Skin Grafting<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-3\"><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#scar_revision\" title=\"Scar Revision\">Scar Revision<\/a><\/li><\/ul><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#how_to_prevent_toasted_skin\" title=\"How to Prevent Toasted Skin?&nbsp;\">How to Prevent Toasted Skin?&nbsp;<\/a><\/li><li class=\"ez-toc-page-1 ez-toc-heading-level-2\"><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/#when_should_you_visit_a_dermatologist\" title=\"When Should You Visit a Dermatologist?&nbsp;\">When Should You Visit a Dermatologist?&nbsp;<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"what_is_toasted_skin_syndrome\"><\/span>What is Toasted Skin Syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Toasted Skin Syndrome, also known as <em>erythema ab igne<\/em> or &#8220;laptop thigh,&#8221; is a dermatological condition characterized by localized skin damage and discoloration.&nbsp;<\/p>\n\n\n\n<p>This condition gets its unusual name from the similarity in appearance between affected skin and toast.&nbsp;<\/p>\n\n\n\n<p>It occurs when your skin comes under prolonged, low-level heat exposure, such as from laptops, heating pads, or other heated objects. The heat may not be intense enough to cause immediate burns, but over time, it can lead to skin damage.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"what_are_the_causes_of_toasted_skin_syndrome\"><\/span>What are the Causes of Toasted Skin Syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>This skin condition occurs due to prolonged exposure to a heat source. The underlying mechanisms involve a <a href=\"https:\/\/ijanm.com\/HTMLPaper.aspx?Journal=International%20Journal%20of%20Advances%20in%20Nursing%20Management;PID=2017-5-2-17\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">combination of heat and infrared radiation<\/a>.&nbsp;<\/p>\n\n\n\n<p>Here are some common scenarios that can lead to this condition:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"laptop_use\"><\/span>Laptop Use<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>One of the most common culprits is using a laptop directly on your lap for extended periods. Laptops generate heat, and this heat can be transferred to your skin, especially if you&#8217;re wearing thin clothing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"heating_pads\"><\/span>Heating Pads<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Using a heating pad for pain relief can also lead to toasted skin if it&#8217;s in direct contact with your skin for too long.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"fireplace_or_space_heaters\"><\/span>Fireplace or Space Heaters<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Sitting too close to a fireplace or space heater for prolonged periods can expose your skin to excess heat, potentially causing this condition.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"car_seat_heaters\"><\/span>Car Seat Heaters<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>In colder weather, using heated car seats for extended periods can also lead to Toasted Skin Syndrome.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"what_are_the_symptoms_of_toasted_skin_syndrome\"><\/span>What are the Symptoms of Toasted Skin Syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Toasted Skin Syndrome typically presents with a range of symptoms, which may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reddish or Brownish Skin: <\/strong>The affected area may initially appear reddish, similar to a mild sunburn. Over time, it can darken to a brownish hue.<\/li>\n\n\n\n<li><strong>Mottled or Net-like Pattern:<\/strong> The discoloration often forms a mottled or net-like pattern on the skin, resembling a toasted surface.<\/li>\n\n\n\n<li><strong>Warmth or Burning Sensation: <\/strong>The skin in the affected area may feel warm to the touch and may even cause a burning or tingling sensation.<\/li>\n\n\n\n<li><strong>Itching:<\/strong> Some individuals with toasted skin may experience itching or discomfort in the affected area.<\/li>\n<\/ul>\n\n\n\n<p><strong>Suggested Read:<\/strong> <a href=\"https:\/\/healthwire.pk\/healthcare\/home-remedies-for-hyperpigmentation-for-skin-brightening\/\" target=\"_blank\" rel=\"noreferrer noopener\">Home Remedies to Get Rid of Hyperpigmentation<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"are_there_any_complications_associated_with_toasted_skin_syndrome\"><\/span>Are there any Complications Associated with Toasted Skin Syndrome?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>While it is generally considered a benign condition, it can lead to complications if left unaddressed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hyperpigmentation:<\/strong> Prolonged exposure to heat can result in hyperpigmentation, where the affected area becomes permanently darker than the surrounding skin.<\/li>\n\n\n\n<li><strong>Skin Cancer Risk:<\/strong> In rare cases, chronic exposure to low-level heat sources may increase the risk of <a href=\"https:\/\/healthwire.pk\/diseases\/skin-cancer\" target=\"_blank\" rel=\"noreferrer noopener\">skin cancer<\/a>, particularly <a href=\"https:\/\/healthwire.pk\/diseases\/squamous-cell-carcinoma\" target=\"_blank\" rel=\"noreferrer noopener\">squamous cell carcinoma<\/a>.<\/li>\n\n\n\n<li><strong>Skin Texture Changes: <\/strong>The affected skin may become rough or develop a leather-like texture over time.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"how_can_you_treat_toasted_skin\"><\/span>How Can You Treat Toasted Skin?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The treatment primarily involves addressing the underlying cause and managing the skin damage.&nbsp;<\/p>\n\n\n\n<p>Here are some steps you can take if you suspect you have this condition:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"discontinue_heat_exposure\"><\/span>Discontinue Heat Exposure<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>The first and most crucial step is to stop the source of heat exposure. If you&#8217;ve been using a laptop on your lap, consider using a laptop cooling pad or working at a desk.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"topical_creams\"><\/span>Topical Creams<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Over-the-counter creams containing ingredients like hydrocortisone can help alleviate itching and reduce inflammation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"moisturize\"><\/span>Moisturize<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Applying a moisturizing lotion or cream can help soothe and hydrate the affected skin.<\/p>\n\n\n\n<p>Avoid Scratching: Resist the urge to scratch the affected area, as it can worsen the condition and increase the risk of infection.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"skin_cancer_screening\"><\/span>Skin Cancer Screening<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>If you have a history of prolonged heat exposure or Toasted Skin Syndrome, regular skin cancer screenings are crucial to monitor any potential risks.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"what_are_the_surgical_options_for_toasted_skin\"><\/span>What are the Surgical Options for Toasted Skin?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>You can consider surgical options for toasted skin when the condition has led to severe and permanent skin damage or hyperpigmentation that does not respond to non-invasive treatments.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><a href=\"https:\/\/healthwire.pk\/doctors\/lahore\/plastic-surgeon\/dr-mehwish-ihsan-butt\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Mehwish Ihsan Butt<\/a> can help you in this regard. She is a leading plastic and reconstructive surgeon in Lahore with eight years of experience.&nbsp;<\/p><\/blockquote><\/figure>\n\n\n\n<p>Here are some surgical options that she can help you with&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"skin_resurfacing\"><\/span>Skin Resurfacing<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Laser therapy and chemical peels can resurface the affected skin, reducing hyperpigmentation and improving skin texture.&nbsp;<\/p>\n\n\n\n<p>These procedures can help remove damaged layers of skin and stimulate the growth of new, healthier skin cells.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"skin_grafting\"><\/span>Skin Grafting<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>In cases of extensive skin damage, where a significant portion of skin has been affected, skin grafting may be necessary.&nbsp;<\/p>\n\n\n\n<p>During this procedure, healthy skin is taken from another area of your body (usually a less visible location) and transplanted to the damaged area.&nbsp;<\/p>\n\n\n\n<p>It can help replace the discolored or damaged skin with healthier tissue.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"scar_revision\"><\/span>Scar Revision<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>This surgery is an option for people left with noticeable scars from toasted skin. It involves techniques like excision, dermabrasion, or injection of fillers to improve the appearance of scars.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"how_to_prevent_toasted_skin\"><\/span>How to Prevent Toasted Skin?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Prevention is far easier than treating it. Here are some practical tips to keep your skin safe:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Use a Barrier: <\/strong>If you frequently use a laptop on your lap, consider using a lap desk or a barrier between the laptop and your skin.<\/li>\n\n\n\n<li><strong>Limit Heat Exposure: <\/strong>Avoid prolonged exposure to heat sources, including heated car seats, heating pads, and space heaters.<\/li>\n\n\n\n<li><strong>Maintain Distance: <\/strong>When using heating devices, maintain a safe distance from them to prevent overheating your skin.<\/li>\n\n\n\n<li><strong>Stay Hydrated:<\/strong> Well-hydrated skin is more resilient, so be sure to drink enough water and use moisturizers regularly.<\/li>\n\n\n\n<li><strong>Wear Protective Clothing: <\/strong>If you&#8217;re in a cold environment and need to use heated car seats, consider wearing thicker clothing or using a cushion between the seat and your skin.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"when_should_you_visit_a_dermatologist\"><\/span>When Should You Visit a Dermatologist?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>You should consider visiting a dermatologist if you experience severe discomfort, intense itching, skin texture changes, or the discoloration doesn&#8217;t fade over time.&nbsp;<\/p>\n\n\n\n<p>Dermatologists can assess the extent of the damage, offer specialized treatments to address hyperpigmentation, and monitor for long-term risks such as skin cancer.&nbsp;<\/p>\n\n\n\n<p>Reach out to the <a href=\"https:\/\/healthwire.pk\/doctors\/lahore\/dermatologist\">best skin doctor in Lahore<\/a> via <strong>Healthwire<\/strong>.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You spend a cozy evening chilling and watching Netflix on your laptop, binge-watching your favorite&hellip;<\/p>\n","protected":false},"author":15,"featured_media":13996,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-13995","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skincare"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Keep Your Skin Safe from Toasted Skin Syndrome? - Healthwire<\/title>\n<meta name=\"description\" content=\"Toasted Skin Syndrome, also known as erythema ab igne or &quot;laptop thigh,&quot; is a dermatological condition characterized by localized skin damage and discoloration.\u00a0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Keep Your Skin Safe from Toasted Skin Syndrome? - Healthwire\" \/>\n<meta property=\"og:description\" content=\"Toasted Skin Syndrome, also known as erythema ab igne or &quot;laptop thigh,&quot; is a dermatological condition characterized by localized skin damage and discoloration.\u00a0\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healthwire.pk\/healthcare\/toasted-skin-syndrome\/\" \/>\n<meta property=\"og:site_name\" content=\"Health &amp; Wellness Blog | Healthwire\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/web.facebook.com\/pg\/healthwire.pk\" \/>\n<meta property=\"article:published_time\" content=\"2023-09-25T14:10:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-24T08:17:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healthwire.pk\/wp-content\/uploads\/2023\/09\/toasted-skin-syndrome.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"641\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Omama Anwar\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@healthwirepk\" \/>\n<meta name=\"twitter:site\" content=\"@healthwirepk\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"How to Keep Your Skin Safe from Toasted Skin Syndrome? 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