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J Clin Invest 121(5):19691973 Bronte V et al (2016) Recommendations for myeloid-derived suppressor cell nomenclature and characterization standards

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[5] It is important to investigate the possibility of onychotillomania, nail-biting, frictional trauma, and even carpal tunnel syndrome if melanonychia is linked to anomalies of the nail plate or the periungual tissues

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Both are appropriate uses of supportive care