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1

Konoplitskyi, V. S., Yu Ye Korobko, O. V. Pasichnyk, and B. L. Pavlenko. "Subungual exostosis of fingers in pediatric practice: clinic, diagnosis, treatment." Modern pediatrics. Ukraine, no. 5(141) (September 28, 2024): 113–18. http://dx.doi.org/10.15574/sp.2024.5(141).113118.

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Subungual exostosis is a fairly rare benign cartilaginous tumor with bone-cartilaginous proliferation affecting the distal phalanges of the toes (more often the first toe (80%) or the hand, which is characterized by long growth. The presence of subungual exostosis significantly worsens the quality of life of patients due to a serious impact on wearing footwear, walking, and daily behavior The etiology and pathogenesis of subungual exostosis are not clearly defined, but the risk factors for the occurrence of pathology traditionally include traumatic injuries (reactive metaplasia), chronic infec
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2

Gupta, Sanjeev, VijayKumar Jain, Amit Mital, Sunita Gupta, and Kamal Aggarwal. "Subungual exostosis." Indian Journal of Dermatology, Venereology and Leprology 74, no. 2 (2008): 173. http://dx.doi.org/10.4103/0378-6323.39722.

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3

Kerina, Ngangbam, and Rikita Paonam. "Subungual exostosis." Cosmoderma 2 (September 5, 2022): 78. http://dx.doi.org/10.25259/csdm_90_2022.

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4

Pérez-Palma, Laura, María Cristina Manzanares-Céspedes, and Enrique Giralt de Veciana. "Subungual Exostosis." Journal of the American Podiatric Medical Association 108, no. 4 (2018): 320–33. http://dx.doi.org/10.7547/17-102.

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Background: The coexistence of deformity of the nail bed and subungual exostosis (SE) is a frequent finding in podiatric practice in the fourth and fifth decades of life. However, it has been described by other specialists as being an uncommon osteocartilaginous tumor most prevalent during the second and third decades of life. This study attempts to determine the causes of this discrepancy. Methods: Two authors independently conducted a systematic bibliographic review in multiple databases, podiatry sources and others, and key words were chosen to achieve a broad search strategy. Studies repor
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5

Anderson, DJ. "Subungual exostosis." Journal of the American Podiatric Medical Association 80, no. 3 (1990): 167–68. http://dx.doi.org/10.7547/87507315-80-3-167.

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6

Shah, SaloniN. "Subungual exostosis." Indian Journal of Pathology and Microbiology 64, no. 3 (2021): 598. http://dx.doi.org/10.4103/ijpm.ijpm_656_20.

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7

Muse, Gene, and Ghazi Rayan. "Subungual Exostosis." Orthopedics 9, no. 7 (1986): 997–98. http://dx.doi.org/10.3928/0147-7447-19860701-12.

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8

Campanelli, Alexandre, and Luca Borradori. "Subungual Exostosis." New England Journal of Medicine 359, no. 25 (2008): e31. http://dx.doi.org/10.1056/nejmicm074461.

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9

Kim, Bu Hwan, Kyoo Seog Shin, Jae Hyek Kim, and Hee Yeong Chung. "Subungual Exostosis." Journal of the Korean Orthopaedic Association 26, no. 5 (1991): 1590. http://dx.doi.org/10.4055/jkoa.1991.26.5.1590.

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10

Wang, Tsun-Cheng, Yu-Hung Wu, and Hsin-Yi Su. "Subungual Exostosis." Journal of Dermatology 26, no. 1 (1999): 72–74. http://dx.doi.org/10.1111/j.1346-8138.1999.tb03514.x.

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11

Suga, Hirotaka, and Masashi Mukouda. "Subungual Exostosis." Annals of Plastic Surgery 55, no. 3 (2005): 272–75. http://dx.doi.org/10.1097/01.sap.0000174356.70048.b8.

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12

Letts, Merv, Darin Davidson, and E. Nizalik. "Subungual Exostosis." Journal of Trauma: Injury, Infection, and Critical Care 44, no. 2 (1998): 346–49. http://dx.doi.org/10.1097/00005373-199802000-00020.

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13

Calligaris, Lorenzo, and Irene Berti. "Subungual Exostosis." Journal of Pediatrics 165, no. 2 (2014): 412. http://dx.doi.org/10.1016/j.jpeds.2014.03.046.

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14

Wu, Kent K. "Subungual exostosis." Journal of Foot and Ankle Surgery 34, no. 1 (1995): 96–98. http://dx.doi.org/10.1016/s1067-2516(09)80110-5.

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15

Ghosh, Sudip Kumar, Deblina Bhunia, and Abhijit Dutta. "Subungual Exostosis." Indian Pediatrics 50, no. 8 (2013): 808–9. http://dx.doi.org/10.1007/s13312-013-0207-9.

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16

Chang, Mi Sook, Baik Kee Cho, Won Houh, Sang In Shim, Moon Jae Cho, and Seuk Hee Park. "Subungual Exostosis." Annals of Dermatology 1, no. 2 (1989): 107. http://dx.doi.org/10.5021/ad.1989.1.2.107.

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17

Miller-Breslow, Anne, та Howard D. Dorfman. "Dupuytrenʼs (Subungual) Exostosis". American Journal of Surgical Pathology 12, № 5 (1988): 368–78. http://dx.doi.org/10.1097/00000478-198805000-00005.

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18

Multhopp-Stephens, Heidi, та Arthur K. Walling. "Subungual (Dupuytrenʼs) Exostosis". Journal of Pediatric Orthopaedics 15, № 5 (1995): 582–84. http://dx.doi.org/10.1097/01241398-199509000-00006.

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19

WOO, THOMAS Y., and JAMES E. RASMUSSEN. "Subungual Osteocartilaginous Exostosis." Journal of Dermatologic Surgery and Oncology 11, no. 5 (1985): 534–36. http://dx.doi.org/10.1111/j.1524-4725.1985.tb01415.x.

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20

Whittle, Carolina, Javiera Aguirre, Veronica Catalán, Ximena Fajre, and Fabiola Vargas. "Subungual Exostosis: High-Resolution Ultrasound Findings." Journal of Diagnostic Medical Sonography 35, no. 5 (2019): 387–90. http://dx.doi.org/10.1177/8756479319836943.

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Subungual exostosis is a rare solitary benign osteocartilaginous tumor that arises from the tuft of the distal phalanx beneath the nail. Because of its multiple clinical presentations, it is commonly underdiagnosed, resulting in delayed diagnosis and inadequate treatment. This report provides results from a 6-year retrospective study. All patients with a sonographic diagnosis of subungual exostosis confirmed surgically were selected. The data came from a series of 19 patient cases. Only 15.7% were clinically suspected. The median age was 21 years, and 63% were females. The sonographic findings
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21

Zhang, Yu-Ning, Jing-Yu Ren, Shu-Ping Guo, and Hong-Ye Liu. "Subungual Exostosis Misdiagnosed as Subungual Wart." International Journal of Dermatology and Venereology 2, no. 3 (2019): 176–77. http://dx.doi.org/10.1097/01.jd9.0000559509.85685.1f.

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22

Lee, Sang Ki, Moon Sang Jung, Young Ho Lee, Hyun Sik Gong, Jae Kwang Kim, and Goo Hyun Baek. "Two Distinctive Subungual Pathologies: Subungual Exostosis and Subungual Osteochondroma." Foot & Ankle International 28, no. 5 (2007): 595–601. http://dx.doi.org/10.3113/fai.2007.0595.

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23

Tchernev, Georgi, Yavor Grigorov, Stanislav Philipov, et al. "Subungual Exostosis in a Young Soccer Player." Open Access Macedonian Journal of Medical Sciences 6, no. 1 (2017): 52–54. http://dx.doi.org/10.3889/oamjms.2018.002.

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BACKGROUND: Subungual exostosis is a relatively uncommon, benign osteocartilaginous tumor of the distal phalanx of the toes or fingers in young adults, considered as a rare variant of osteochondroma. Differential diagnoses include subungual verruca (viral wart), pyogenic granuloma, osteochondroma, amelanotic subungual melanoma and glomus tumour. Misdiagnosis and total onychodystrophy frequently occur as a result of late treatment or inadequate treatment strategy. Dermoscopy could be a useful technique, involved in the diagnostic process, although X-ray examination and histopathology are mandat
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24

Jetmalani, S. N. "Painful solitary subungual nodule. Subungual exostosis (SE)." Archives of Dermatology 128, no. 6 (1992): 849. http://dx.doi.org/10.1001/archderm.128.6.849.

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25

Paksoy, Serpil, Ulviye Yalçınkaya, Bahar Yanık Keyik, and Gökhan Meriç. "Subungual Exostosis: Case Report." Balıkesır Health Sciences Journal 4, no. 2 (2015): 91–93. http://dx.doi.org/10.5505/bsbd.2015.73745.

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26

Dendane, MA, A. El Bakkaly, ZA, Hassani, and A. Amrani. "Subungual exostosis: Pediatric aspects." Archives of Surgery and Clinical Research 3, no. 2 (2019): 056–58. http://dx.doi.org/10.29328/journal.ascr.1001034.

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27

Grisafi, Patrick J., Charles M. Lombardi, Andrew L. Sciarrino, Gerard F. Rainer, and William F. Buffone. "Three Select Subungual Pathologies: Subungual Exostosis, Subungual Osteochondroma, and Subungual Hematoma." Clinics in Podiatric Medicine and Surgery 6, no. 2 (1989): 355–64. http://dx.doi.org/10.1016/s0891-8422(23)00330-0.

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28

Palma, Luigi de, Antonio Gigante, and Nicola Specchia. "Subungual Exostosis of the Foot." Foot & Ankle International 17, no. 12 (1996): 758–63. http://dx.doi.org/10.1177/107110079601701208.

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Eleven subungual exostoses of the foot (10 on the hallux, 1 on the third toe) were studied. The initial symptom was subungual pain. When a subungual mass of fibrous tissue appeared, the nail was pushed up and in one case the mass became infected. X-rays exhibited a bone mass protruding from the terminal phalanx on the dorsomedial aspect of the toe in all cases. All patients underwent surgical excision of the lesions with partial onychectomy. Three layers were identified in five cases: a cap of fibrous tissue, a middle zone of hyaline cartilage with enchondral ossification, and a deep zone of c
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29

SAITO, Hiroshi, Akihiko YANADORI, and Soji YAMAZAKI. "Four Cases of Subungual Exostosis." Nishi Nihon Hifuka 54, no. 4 (1992): 708–12. http://dx.doi.org/10.2336/nishinihonhifu.54.708.

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30

Yamamoto, Saburo, Setsuro Komiya, and Akio Inoue. "Clinocopathological Study of Subungual Exostosis." Orthopedics & Traumatology 41, no. 2 (1992): 549–52. http://dx.doi.org/10.5035/nishiseisai.41.549.

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31

Turan, Hakan, Mustafa Uslu, and Havva Erdem. "A case of subungual exostosis." Indian Journal of Dermatology, Venereology, and Leprology 78, no. 2 (2012): 186. http://dx.doi.org/10.4103/0378-6323.93638.

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32

CARROLL, R. E., J. T. CHANCE, and Y. INAN. "Subungual Exostosis in the Hand." Journal of Hand Surgery 17, no. 5 (1992): 569–74. http://dx.doi.org/10.1016/s0266-7681(05)80243-8.

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Although it is thought to be a relatively common tumour, only 34 positively identified cases of subungual exostosis in the hand have been found in the literature to date. 16 further cases are reported, making this the largest published series. Seven cases presented with an incorrect diagnosis. An X-ray easily differentiates the tumour from an osteochondroma of the distal phalanx, a spike of bone from a crush injury, or a response to a penetrating injury called a turret exostosis. Removal of the deformed nail and excision of the mass from the distal phalanx produces a useful ringer without pain
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33

lizuka, Takehisa, Yukihiro Kinoshita, and Keizou Fukumoto. "Subungual Exostosis of the Finger." Annals of Plastic Surgery 35, no. 3 (1995): 330–32. http://dx.doi.org/10.1097/00000637-199509000-00021.

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34

Hoehn, James G., and Craig Coletta. "Subungual exostosis of the fingers." Journal of Hand Surgery 17, no. 3 (1992): 468–71. http://dx.doi.org/10.1016/0363-5023(92)90352-p.

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35

Unlu, Serhan, Ismail Demirkale, Tughan Kalkan, Birol Tunc, and Murat Bozkurt. "Large Subungual Exostosis of the Great Toe." Journal of the American Podiatric Medical Association 100, no. 4 (2010): 296–98. http://dx.doi.org/10.7547/1000296.

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A subungual exostosis is a benign lesion described as a variant of an osteochondroma. It mostly affects the great toe, and it can be confused with an osteochondroma and a Nora’s lesion. The curative treatment for a subungual exostosis is complete excision, and the cartilaginous cap must be totally resected to prevent a possible recurrence. In this article, we present findings regarding a large and painful lesion on the dorsomedial aspect of the great toe of a patient. (J Am Podiatr Med Assoc 100(4): 296–298, 2010)
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36

Gunathilake, H. M. P., A. M. S. D. Kumar, and K. L. P. D. Seneviwickrama. "Subungual exostosis in a 7-year-old boy." Sri Lanka Journal of Dermatology 22, no. 1 (2021): 55–56. http://dx.doi.org/10.4038/tsljd.v22i1.10.

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Subungual growths are frequently encountered in paediatric dermatological practice. Majority of them are viral warts. Here we report a case of subungual exostosis (SE) in a 7-year-old boy for its rarity and usually the diagnosis is delayed in most cases.
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37

INACHI, Shin, Hitoshi MIZUTANI, and Masayuki SHIMIZU. "Subungual Exostosis as an Unusual Complication of Hereditary Multiple Exostosis." Nishi Nihon Hifuka 56, no. 2 (1994): 243–45. http://dx.doi.org/10.2336/nishinihonhifu.56.243.

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38

Daragad, ManjunathSomappa, SapanDeverbhavi Srinivas, and Joe Varghese. "Exostosis masquerading as a subungual wart." Indian Dermatology Online Journal 5, no. 1 (2014): 92. http://dx.doi.org/10.4103/2229-5178.126051.

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39

Shinkado, Hiromi, Takashi Sakou, Tatuya Umezu, et al. "Clinical Experience of the Subungual Exostosis." Orthopedics & Traumatology 40, no. 1 (1991): 480–82. http://dx.doi.org/10.5035/nishiseisai.40.480.

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40

Ilyas, Waqas, Larisa Geskin, Aaron K. Joseph, and Mark P. Seraly. "Subungual exostosis of the third toe." Journal of the American Academy of Dermatology 45, no. 6 (2001): S200—S201. http://dx.doi.org/10.1067/mjd.2001.102666.

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41

Starnes, Autumn, Kara Crosby, David J. Rowe, and Jeremy S. Bordeaux. "Subungual Exostosis: A Simple Surgical Technique." Dermatologic Surgery 38, no. 2 Part 1 (2012): 258–60. http://dx.doi.org/10.1111/j.1524-4725.2011.02249.x.

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42

Singh, Roop, Mantu Jain, Rakesh Goel, Ramchander Siwach, Rajneesh Kalra, and Kiranpreet Kaur. "Subungual Exostosis of the Great Toe." Foot & Ankle Specialist 4, no. 6 (2011): 376–78. http://dx.doi.org/10.1177/1938640011418495.

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Subungual exostosis is an acquired, benign, and solitary bone tumor of the distal phalanx occurring beneath or adjacent to nail. A 18-year-old man presented with a lump, ulceration, and pain on his right big toe. This complaint was present for the past 2 years. Initially, lump and pain were present, and since the past 6 months ulceration and superadded infection occurred. Plain radiograph showed a calcified lesion that was continuous with the phalangeal cortical surface in the distal dorsal aspect of the big toe. Excisional biopsy with complete nail removal and reconstruction of the tip of the
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43

Webber, Jan M., and Mary V. Miller. "Subungual exostosis in a young woman." Pathology 26, no. 3 (1994): 339–41. http://dx.doi.org/10.1080/00313029400169801.

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44

Göktay, Fatih, Güldehan Atış, Pembegül Güneş, Betül Macit, Nil Su Çelik, and Esra Gürdal Kösem. "Subungual exostosis and subungual osteochondromas: a description of 25 cases." International Journal of Dermatology 57, no. 7 (2018): 872–81. http://dx.doi.org/10.1111/ijd.14003.

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45

Kafle, Pradeep, Nishchal Rijal, and Ashish Kumar Pandey. "Subungual exostosis of the great toe: A case report." Journal of Kathmandu Medical College 8, no. 4 (2020): 235–38. http://dx.doi.org/10.3126/jkmc.v8i4.32391.

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Subungual exostosis is typically a rare benign, acquired tumor of cartilaginous bone occurring on the medial surface of the distal hallux of toes or fingers. These are usually associated with secondary changes such as elevation of the nail plate, ulceration or subungual hyperkeratosis and hyperpigmentation. On histological examination, the lesion consists of mature bone at the base with proliferating fibrocartilaginous cap. A 14-year-old male presented with a solitary firm swelling gradually increasing in size for three months on the distal part of the right great toe. On physical examination,
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46

Moreira Amorim, Gustavo, Carolina Krause, Bruna Garcia da Silveira, Bruna Molozzi, Ingrid Reuwsaat Paul, and Roberto Moreira Amorim Filho. "Subungual Osteochondroma: A Diagnosis to be remembered." Journal of Clinical Research in Dermatology 8, no. 1 (2021): 1–3. http://dx.doi.org/10.15226/2378-1726/8/1/001133.

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We report a case of a 14-year-old male patient who came to our outpatient clinic to be evaluated from a recently developed painful hallux lesion, determining nail dystrophy. He had previously been treated with trichloroacetic acid for a supposed subungual common wart. After examining a firm and painful nodule, emerging from the nail bed, elevating the nail plate, we recommend an X-ray examination, confirming our suspicion of a subungual osteochondroma. The patient was referred to the orthopedist, a foot specialist, for surgical treatment. Keywords: Nail Diseases; Bone Neoplasms; Exostosis;Oste
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47

Kumar, Piyush, PratapChandra Das, and Shahid Hassan. "Subungual exostosis – Clinical, radiological, and histological findings." Indian Dermatology Online Journal 10, no. 2 (2019): 202. http://dx.doi.org/10.4103/idoj.idoj_104_18.

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48

Malkoc, M., O. Korkmaz, M. Keskinbora, et al. "Surgical treatment of nail bed subungual exostosis." Singapore Medical Journal 57, no. 11 (2016): 630–33. http://dx.doi.org/10.11622/smedj.2015180.

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49

DaCambra, M. P., S. K. Gupta, and F. Ferri-de-Barros. "A novel management strategy for subungual exostosis." Case Reports 2013, aug30 1 (2013): bcr2013200396. http://dx.doi.org/10.1136/bcr-2013-200396.

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50

Zhang, Wei, Lingxi Gu, Hui Fan, Xiaoping Shen, and Hongguang Lu. "Subungual exostosis with an unusual dermoscopic feature." JAAD Case Reports 6, no. 8 (2020): 725–26. http://dx.doi.org/10.1016/j.jdcr.2020.05.030.

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