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Its diagnosis requires a high degree of suspicion and exclusion of other possible causes of lung disease, which is why a thorough and complete clinical history is required and a collaboration between various services such as Pneumology, Radiology and Pathology

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However, it is important to consult with a healthcare provider before discontinuing naltrexone, as stopping the medication increases the risk of relapse into opioid or alcohol use

I suspect this is due to the finer cut (read: dust and shards) being used as kindling

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Consult a dermatologist for any queries on skin health