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"One disappointing aspect is that a patient might get started on these drugs, then they might stop for a month or two and then they might find another company that pops up that might give them these medications and all the while, no one's really addressing what's going on holistically with these types of patients who actually probably need to get plugged in and need to get an appropriate workup and diagnosis to make sure it's appropriate and get that kind of whole person care," she said

They are usually uniform in color and sun exposure is not an etiology