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Beatriz was horrified when a doctor suggested she wouldn't be able to wear a bikini as people would 'think she had monkeypox' an infection that fluid-filled spots and is spread through contact with an infected person's skin, coughs and sneezes

The patient is typically weaned (gradually takes less and less over time) off of anti-inflammatories once the DMARD has had a chance to work

However, various internal and external factors can disrupt this balanced distribution, causing melanin to accumulate in specific areas and creating the characteristic dark spots associated with hyperpigmentation

10.3748/wjg.v20.i27.8957 World J