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Acknowledgements This work was supported by funding from the National Institute of Allergy and Infectious Diseases, National Institutes of Health R15AI151970 and NIH P20GM103434 grant to the West Virginia IDeA Network of Biomedical Research Excellence

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32 The usual presentation is nonblanching palpable petechiae and purpura (Figure 4)

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Moreover, studies show that daily use switches melanin synthesis from eumelanin (darker) to phaeomelanin (lighter), leading to noticeable improvements