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The differential diagnosis for brownish pigmentation depends on whether the lesion is focal (melanotic macule, nevus, and melanoma), diffuse (ecchymosis, melanoma, and drug induced), or multifocal (physiologic pigmentation, drug induced, and oral lichen planus)

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While the exact cause of UC remains elusive, recent research has pointed to factors such as abnormal immune responses, intestinal dysbiosis, environmental influences, and genetic susceptibility as potential contributors [14]

Consequently, clinicians are more frequently confronted with the context of headache disorders

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