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Longitudinal melanonychia associated with inflammatory nail disorders: Multiple longitudinal melanonychia may occur in patients with lichen planus, which is typically associated with nail plate thinning, onychoatrophy, onychorrhexis, longitudinal splitting, longitudinal grooves or ridges of the nail plate, nail scarring, and abnormalities[19]

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Indeed, the impact of the GM on host immunity is an expanding and promising research field, recently reviewed more extensively by Zhang et al

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