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However, intraorally, hyperpigmentation is more typically a consequence of physiologic, idiopathic sources, neoplasia, medications, high serum concentrations of pituitary adrenocorticotropic hormone (ACTH), postinflammatory changes, and genetic or autoimmune disorders

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3 , 6 MMNST is often misdiagnosed due to its overlapping histological features with metastatic melanoma and other melanotic tumors, or it may radiographically mimic other nerve sheath tumors by exhibiting a dumbbell configuration along nerve roots

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Developmental exposure to endocrine disrupting chemicals and type 1 diabetes mellitus