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Potential contributing factors include rapid weight loss, spiking stress hormones, GI issues reducing nutrient absorption, or flare-ups of autoimmune susceptibility all changes that can shift more hair to enter the resting phase and result in sudden loss of density
Psammomatous MMNSTs have more often been reported in association with Carney complex (29, 34), and PRKAR1A alterations are common in melanotic schwannoma (19)
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