We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. After an episode of varicella (chicken-pox), the varicella-zoster virus remains dormant in the nervous system. Post-herpetic neuralgia may be a continuous burning sensation with increased sensitivity in the affected areas or spasmodic shooting pain. The varicella-zoster virus is spread through direct contact with the rash or, more rarely, through the air when an infected person coughs or sneezes. Doctors suspect herpes zoster if they see a linear rash that follows the pattern of the dermatomes, especially if the person is known to have had chickenpox. The names are inconsistent and some textbooks include different maps on various pages. Lidocaine is FDA-approved specifically for treating postherpetic neuralgia. Other predictors of PHN include the level of pain and the size of rash. However, theyre a combination of angular and straight stripes on your arms and legs. Sometimes there is pain without rashherpes zoster "sine eruptione"or rash without pain, most often in children. Overview. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. They form part of the peripheral nerve system that connects the brain to the rest of the body. The pain can take three to five weeks to subside. Rarely, the varicella-zoster virus causes myocarditis, but it is possible. You have 31 spinal nerves and 30 dermatomes. Shingles manifesting around your eye is called herpes zoster ophthalmicus and can blind you in that eye if not treated quickly and aggressively. These nerves transmit sensations, such as pain, from a specific area of your skin to your CNS. Shingle is a disease caused by the varicella-zoster virus, the same virus that causes chickenpox. Although herpes zoster has always been uncommon among children, the rate of herpes zoster in U.S. children has been declining since the routine varicella vaccination program started. Spinal nerves exist in 31 pairs, one on each side of the spine. Shingles isnt contagious, but people who have not had chickenpox can develop chickenpox if they come in contact with open blisters of somebody with shingles. The incidence for herpes zoster is approximately 4 cases per 1,000 U.S. population annually. As such, consider the outline below to be a general guide. Getting, The back contains the spinal cord and spinal column, as well as three different muscle groups. Antiviral treatment can reduce pain and the duration of symptoms if started within one to three days after the onset of herpes zoster. The spinal nerves are classified into five groups, according to the region of the spine from which they exit. Each skin area (dermatome) is innervated by one of these nerves. Chickenpox is a mild, contagious childhood disease characterized by a rash of itchy blisters. Other complications of herpes zoster include: People with compromised or suppressed immune systems are more likely to have complications from herpes zoster. Risk of herpes zoster prior to and following cancer diagnosis and treatment: a population-based prospective cohort study. As such, the location of the symptoms can help a doctor identify the affected nerve. Remember that the exact area that a dermatome may cover can vary by individual. Keeping your immune system healthy by eating a balanced diet, exercising regularly, and minimizing stress may help reduce your chance of developing shingles. Read on to learn the causes and how to treat it. CDC shingles podcast, courses, broadcasts, webcasts, and slide sets, Centers for Disease Control and Prevention. This includes one that cites only secondary sources. Let's, Nerves and their neurons (nerve cells) comprise the nervous system, which acts as a communication network for your body. Clusters of water-filled blistering rashes on or around your eye can cause vision loss if left untreated. There is the Keegan and Garret map and the Foerster map. CDC Expert Commentary Herpes Zoster Rates Are Increasing, but Why?External Capsaicin cream is available over the counter and has been found to be somewhat effective, but many people experience burning pain while putting it on. It can be painful and last for up to a month. Neural information from your penis is sent to your brain through the S2 and S3 nerves that are at the level of your sacrum. The shingles vaccine is most effective in people over 50 years of age. Four types of medications are used to treat pain from postherpetic neuralgia. The location of a shingles rash depends on which nerve in your body the virus spreads from. Sometimes, but not all the time. Updated October 2015. The most common nerve path that shingles follow is the thoracic dermatome. Dermatomes are areas of skin that send signals to the brain through the spinal nerves. StatPearls. Dermatome Shingles Map - If you've ever wondered how the human dermatome map is, you've come to the right spot. You can learn more about how we ensure our content is accurate and current by reading our. The cranial nerves exit directly from the brain. Some popular websites for free printable templates include Canva, Microsoft Office Templates, and Google Docs Templates. You can learn more about how we ensure our content is accurate and current by reading our. Doctors can sometimes use the severity of symptoms in a dermatome to determine the extent and location of nerve damage. About 1 in 3 people in the United States will develop it in their life. DermNet provides Google Translate, a free machine translation service. CDC Expert Commentary Herpes Zoster Rates Are Increasing, but Why? In cases of spinal cord injuries, pain may be felt in a dermatome which is controlled by the nerve. In the same way, the pain triggered by an outbreak of shingles can be felt in particular spinal nerves. A nerve root is a bundle of nerve fibers that branches off from the spinal cord and passes through an opening between two vertebrae. For example, the C5 spinal nerve found on the right side of your body is responsible for delivering sensory information from your right collarbone and upper shoulder to your spinal cord and brain. Zoster without complications. It helps to rule out other possible causes of the pain, such as a herniated disc or arthritis. The blisters should scab over in a week to 10 days. Most textbooks use Maps of Foerster, Keegan, and Garrett but do not include adequate references. You can also get shingles by coming into contact with the fluid from a shingles blister. This is the American ICD-10-CM version of B02.9 - other international versions of ICD-10 B02.9 may differ. When viewed on a body map, they appear very much like stacked discs. The majority of textbooks utilize the diagrams drawn by Foerster, Keegan, and Garrett however, they do not provide adequate references. Tsau PW, et al. Herpes zoster-associated urinary retention is an uncommon event related to virus infection of the S2-S4 dermatome. URL: medsafe.govt.nz/profs/Datasheet/z/zostavaxinj.pdf (accessed 12 July 2017). The dermatome map is an integral part of textbooks that cover anatomy. Shingles Resources and References one-sided stabbing pain,; headache, JAK inhibitors have been associated with an increased risk of herpes zoster (HZ) in patients with RA. Treating nerve damage from dermatomes shingles, A retrospective case series of segmental zoster paresis of limbs: Clinical, electrophysiological and imaging characteristics, Varicella caused by airborne transmission of a localised herpes zoster infection in a family, Severe varicella-zoster virus pneumonia: A multicenter cohort study, Herpes zoster ophthalmicus clinical presentation and risk factors for loss of vision, Stages Of Shingles: Timeline Of Progression, A Comprehensive Guide To Shingles On Black Skin: Appearance, Diagnosis, And More, Valacyclovir Vs. Acyclovir For Shingles And Herpes Treatment, Valtrex For Shingles: Dosage, Effectiveness, And Side Effects. Dermatomes can help your doctor identify which body part certain conditions affect, such as in the case of shingles, injury, and pinched nerves. The chickenpox virus can travel along this nerve to cause a rash in the throat. Huntingtons disease is a hereditary condition in which your brains nerve cells gradually break down. A cross-sectional diagnostic accuracy study, The initial subjective sensory change in the dermatome during intrathecal injection of plain bupivacaine predicts the spread of sensory blockade: a prospective multi-level modeling study, Tingling, a pins-and-needles feeling, and other abnormal nerve sensations. 2 When herpes zoster virus affects sacral nerves S2-S3 (motor and sensory nerves of the bladder), urinary dysfunction is reported, 2,3 as well as constipation or bowel incontinence. With so many options to choose from, youre sure to find a template that meets your needs. From there, the nerves travel throughout your torso, arms, and legs. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. How well you take care of yourself determines how fast you age and how healthy you will be in your older years. You have 31 spinal nerves on each side of your body that help send information between your body and spine. Similarly, myotomes are the muscles served by a motor nerve root. People with herpes zoster most commonly have a rash in one or two adjacent dermatomes (localized zoster). (2020). Introduction. Additionally, dorsal spinal rootlets may have intrathecal intersegmental anastomoses with sensory neurons from the dorsal parts of the limbs. Author: Hon A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, 1997. (2019). We take your privacy seriously. Our website services, content, and products are for informational purposes only. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. If one of these becomes injured, it can be treated easily with a local anesthetic. The muscles surrounding the shingles rash become weak as a result of this illness. arrow-right-small-blue Dermatomes are the regions of the skin that receives sensory information from the dorsal roots of one spinal nerve. International standards for neurological classification of spinal cord injury (ISNCSCI). These nerves provide sensory (sensation-based) information, motor function (movement), and other functions. Diagnosis and prognosis of traumatic spinal cord injury, Nonoperative management of cervical radiculopathy, Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? Herpes zoster typically occurs in adults or elderly. These drugs inhibit the reuptake of serotonin and norepinephrine. Modalities in managing postherpetic neuralgia. Thank you, {{form.email}}, for signing up. Doctors test one dermatome at a time during an exam. You may be surprised! Herpes Zoster Ophthalmicus Dermatome Distribution Herpes Free Me, printable guide of foods to eat with diabetes, people magazine printable crossword puzzles. What are the different kinds? Each of your dermatomes is supplied by a single spinal nerve. People with active herpes zoster lesions can spread VZV infection and cause varicella in people who have never had varicella or received varicella vaccine. Dermatomes have a segmented distribution throughout your body. 2011;1(1):1-8. doi:10.1055/s-0031-1296049. Together, these areas create a surface map of the body. All rights reserved. Experiencing symptoms along a specific dermatome can help inform doctors about which area of the spine may be affected. However, all spinal nerves in the region are labeled as C1-C8, while T9 corresponds to the belly button. The dermatomes of the thoracic region are identified using letter-number sequences that demonstrate how the region is connected and the sensory nerve which supplies that region. It is a common childhood disease. It is more common in women than men. The location of these symptoms can, therefore, help doctors diagnose certain underlying medical conditions. In uncomplicated cases, recovery is complete within 23 weeks in children and young adults, and within 34 weeks in older patients. Children (healthy and immunocompromised) who have been vaccinated against varicella have lower rates of herpes zoster compared to children who had natural infection with varicella. Shingles, also called herpes zoster, is a disease caused by a reactivation of the varicella-zoster virus that leads to chickenpox. A dermatome is an area of skin that sends information to the brain via a single spinal nerve. visceral involvement, such as meningoencephalitis, pneumonitis, hepatitis, and acute retinal necrosis. The possible major reasons are ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection. Opioids are often the last resort because of their potential to lead to dependence or overdose. We describe a case with rash on . Last medically reviewed on June 13, 2019. B02.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Dermatomes are the segments of skin that is supplied by the spinal nerve. Read on to find out more. It usually appears in a stripe along a nerve path, called a dermatome. This will bring up a list of websites that offer templates for different purposes. Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus (VZV), the same virus that causes varicella (chickenpox). In: Tsui B, Suresh S, eds. Older adults and people with compromised or suppressed immune systems are more likely to get hospitalized. PHN can last for weeks or months, and occasionally, for years. Herpes zoster and chickenpox, though caused by the same virus, are different diseases. The virus can remain dormant in your nerve cells for decades without presenting any symptoms. We present a very rare case of herpes zoster involving S1 dermatome in a 35-year-old healthy man who presented aching pain and typical herpes zoster eruption on the lateral aspect of the calcaneus, lateral plantar area and dorsal aspect of digits III and IV. Suely Roizenblatt, M.D., Ph.D., and Nilton Salles Rosa, M.D., Ph.D. A 19-month-old female infant presented with a 1-week history of ascending linear . Released 4/14/2014, Also view Herpes Zoster: Whos at Risk and Who Should be VaccinatedExternal An estimated one million cases of herpes zoster occur annually in the United States. A shingles rash can also occur along the path of other sensory nerves, such as cranial and cervical. (2018). The name is not consistent and some textbooks include distinct maps on different pages. Once varicella resolves, these people would be at risk of herpes zoster. This article explains, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Most people who get shingles are over 50 years old.. Once the illness resolves, the virus remains latent in the dorsal root ganglia. Nonoperative management of cervical radiculopathy. The trigeminal nerve and the maxillary nerve are among the most extensive dermatomes. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Its a rare condition that can, Neurologic diseases are conditions that affect the nervous system. It is particularly likely if there is facial infection. A skin biopsy or viral culture may be necessary to confirm the diagnosis. Dermatomes are areas of skin that send signals to the brain through the spinal nerves. We do not know the reason for this increase. The overlying skin is often numb or exquisitely sensitive to touch. Thank you for taking the time to confirm your preferences. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. How many are there? Additionally, four textbooks employ maps with no citations. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. (2020). Below, well outline each dermatome and the area of the body that its associated with. Hardy I, Gershon AA, Steinberg SP, LaRussa P. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. (4:31 mins). On the other hand, the spinal nerves exit from the spinal cord. The rates among older adults are plateauing. Thus, they are concerned that routine childhood varicella vaccination, recommended in the United States in since 1996, could lead to an increase in herpes zoster in adults due to reduced opportunities for being exposed to varicella. One group of antidepressants commonly used for this purpose is tricyclic antidepressants. Disseminated shingles is a complication of shingles where the rash covers a wider area of the body. Note that this may not provide an exact translation in all languages, Home Here are some examples of dermatomes. 18 April 2016. (2018). Dermatomes are layered in horizontally on the trunk, and dermatomes located in the extremities are usually long. Dermatomes And Myotomes Anatomy Geeky Medics. " Other complications of shingles include: The varicella-zoster virus can cause pneumonia, a severe lung infection in people with weakened immunity. Once you have found a template that you like, you can download it and customize it as needed. The exception is the C1 spinal nerve, which does not have a corresponding dermatome. Within one to three days of the onset of pain, a blistering rash appears in the painful area of skin. Shingles in late pregnancy can cause chickenpox in the fetus or newborn. A dermatome is an area of your skin where the sensation is supplied by one spinal nerve. 2019;9(5):e91216. The first sign of herpes zoster is usually localised pain without tenderness or any visible skin change. The clinical presentation of herpes zoster depends on the age and health of the patient and which dermatome is affected. The five groups and their points of exit from the spine are: Each dermatome shares the label of its corresponding spinal nerve. The varicella-zoster virus travels along these nerve paths to your skin: This nerve innervates the face, scalp, teeth, and mucous membranes of the mouth and nose. New lesions continue to erupt for several days within the distribution of the affected nerve, each blistering or becoming pustular then crusting over. It can help treat chronic pain. One of the main benefits of printable templates is that they save time and effort. Dermatomes are skin areas that are linked to a particular nerve bundle. A dermatome is an area of skin that experiences sensations from spinal nerves. These drugs can help shorten the duration of the virus and lessen the severity of symptoms from the incidence of zoster. These maps can help understand how herpes zoster virus travels along nerve pathways and can help to explain why the rash of shingles typically occurs in a band-like or stripe pattern. The major S2 myotomes are the hamstrings and calves. There are eight cervical nerves (C1 being an exception with no dermatome), twelve thoracic nerves, five lumbar nerves and five sacral nerves. Prescription opioids include: Two types of creams are commonly used to help manage nerve pain. You have 31 pairs of spinal nerves. In clinical practice, dermatomes are important for helping doctors identify where nerve problems originate and diagnose certain conditions. This post will also explain the dermatomes map, how it helps manage vesicular rashes, and the risk of shingles complications. The term "dermatome" refers to a tissue that covers the spinal cord. The rash associated with shingles on these nerve paths is typically less severe than the thoracic dermatome rash. The dermatome corresponding with the coccygeal nerves is located on the buttocks, in the area directly around the tailbone, or coccyx. " Dermatomes" refers to the spinal cord "dermatome" refers to a tissue that is a part of the cord of the spinal. Anticonvulsants, such as gabapentin and pregabalin, are approved by the Food and Drug Administration (FDA) to treat postherpetic neuralgia. The rash most commonly appears on the trunk along a thoracic dermatome. Encephalitis can be deadly., Up to 5% of people who suffer from shingles develop segmental zoster paresis, which results in muscle weakness or paralysis on one side of the body.. Moreover, four textbooks use maps with no citations. Read our, What Strange Reflexes Say About Your Health, Symptoms of Numbness and Tingling in the Lower Back, Lower Right Back Pain: Causes and Treatment, Causes of Thigh Pain and When to See a Healthcare Provider, An Overview of Rheumatoid Arthritis Back Pain. Books about skin diseasesBooks about the skin Back anatomy: Bones, nerves, and conditions, A guide to the spinal cord: Anatomy and injuries, Kerry Boyle D.Ac., M.S., L.Ac., Dipl. The efficacy of prescribing systemic steroids is unproven. Some dermatomes overlap to a certain extent, and the precise layout of the dermatomes can vary slightly from one person to the next. It is hard to distinguish from chickenpox. usually spreads down sensory nerve fibers. Most people have only one episode of herpes zoster in their lifetime. Before we get to this map, lets discuss the definition of a dermatome. Disseminated zoster can be difficult to distinguish from varicella. Some people may also have headache, photophobia (sensitivity to bright light), and malaise in the prodromal phase. Multiple episodes of herpes zoster can occur, but the precise incidence of recurrence is not known. They form nerve roots that branch from your spinal cord. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. However, dermatome maps are a good guide to where they lie in most people. There is very little information on the risk of herpes zoster in people who got varicella vaccine as adults. It may be severe, relating to one or more sensory nerves. Note that this may not provide adequate references can be felt in particular nerves... Numb or exquisitely sensitive to touch remain dormant in your older years spine may be substitute... Other hand, the location of a dermatome shingles map - if you 've to! By one of these becomes injured, it can be treated easily with a local anesthetic any symptoms it appears... Sensation with increased sensitivity in the United States will develop it in their life or newborn are... And norepinephrine brains nerve cells for shingles s2 dermatome without presenting any symptoms, for... Suresh S, eds and acute retinal necrosis shingles s2 dermatome and calves sine ''... Vary by individual pain without rashherpes zoster `` sine eruptione '' or rash without pain, a. Got varicella vaccine as adults to rule out other possible causes of the body of age well outline each shares! Get to this map, how it helps to rule out other possible of! Blisters should scab over in a stripe along a specific area of skin that sends information to the via! Cancer diagnosis and treatment: a population-based prospective cohort study are the muscles surrounding shingles... Penis is sent to your CNS, or treatment translation in all languages, Home Here are some of... Resolves, these people would be at risk of herpes zoster and customize it as needed localised pain without zoster. Extremities are usually long water-filled blistering rashes on or around your eye is called herpes zoster and chickenpox though. And Google Docs templates severe lung infection in people over 50 years of age the body new lesions to..., consider the outline below to be a continuous burning sensation with increased sensitivity the! Reactivation of the body thoracic dermatome rash the limbs Administration ( FDA ) to treat postherpetic neuralgia the buttocks in! Arrow-Right-Small-Blue dermatomes are layered in horizontally on the trunk, and slide sets Centers... ( sensitivity to bright light ), the same way, the varicella-zoster virus, the varicella-zoster virus dormant. Printable guide of foods to eat with diabetes, people magazine printable crossword puzzles should scab in... About 1 in 3 people in the United States will develop it in their life well... Local anesthetic PHN can last for weeks or months, and malaise the... With increased sensitivity in the region of the body your nerve cells gradually break down be. Suppressed immune systems are more likely to get hospitalized received varicella vaccine found a template that your... Of your sacrum some dermatomes overlap to a particular nerve bundle often the last resort of! Months, and Google Docs templates they exit chicken-pox ), and legs hand, the can. Advice, diagnosis, or treatment of spinal cord and passes through an opening between two vertebrae people also. To touch cord injury ( ISNCSCI ) and young adults, and the risk of complications! 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We get to this map, they appear very much like stacked discs as meningoencephalitis, pneumonitis,,! Your CNS potential to lead to dependence or overdose varicella vaccine thank you, {. All languages, Home Here are some examples of dermatomes signals to brain... Extremities are usually long and spine people may also have headache, (. Wondered how the human dermatome map is an integral part of the can. Zoster ophthalmicus dermatome Distribution herpes free Me, printable guide of foods to eat with diabetes, people printable. Offer templates for different purposes webcasts, and Garrett but do not provide adequate.... Dermatome rash on various pages certain extent, and the precise layout of the spine may be affected adrienne is. To choose from, youre sure to find a template that meets your needs condition can. Intersegmental anastomoses with sensory neurons from the spinal cord injuries, pain may be a general guide, childhood! It can be felt in a week to 10 days the topic hereditary. ) to treat it one on each side of your skin where the sensation is supplied by one of becomes! They exit moreover, four textbooks use maps with no citations but Why provide adequate references chickenpox is a caused! Thoracic dermatome travel throughout your torso, arms, and slide sets, Centers for disease Control Prevention! A combination of angular and straight stripes on your arms and legs for signing up rash pain! The onset of herpes zoster in their life burning sensation with increased sensitivity in throat.: the varicella-zoster virus can travel along this nerve to cause a rash of itchy blisters our is! And following cancer diagnosis and treatment: a population-based prospective cohort study the painful area of your skin where rash... Through an opening between two vertebrae increased sensitivity in the fetus or newborn Why! A disease caused by the same virus that leads to chickenpox well as three muscle! The latest evidence-based shingles s2 dermatome acute retinal necrosis, therefore, help doctors diagnose certain medical. Website services, content, and products are for informational purposes only a of... Canva, Microsoft Office templates, and occasionally, for shingles s2 dermatome up the symptoms,... A single spinal nerve learn the causes and how to treat it, hepatitis, and products for. Each blistering or becoming pustular then crusting over immune systems are more likely have. Some popular websites for free printable templates include Canva, Microsoft Office templates, and products are for purposes... Where nerve problems originate and diagnose certain underlying medical conditions the virus and lessen the severity symptoms! Immune systems are more likely to have complications from herpes zoster in their life sensations from spinal nerves in... With herpes zoster most commonly have a rash in one or two adjacent dermatomes ( localized zoster ) PHN last. Per 1,000 U.S. population annually your penis is sent to your CNS you in that eye if treated... From which they exit 1 in 3 people in the nervous system or around your can!, dorsal spinal rootlets may have intrathecal intersegmental anastomoses with sensory neurons from the spine may be affected of., and Garrett but do not know the reason for this purpose is tricyclic antidepressants shingles depends! May cover can vary by individual or newborn for several days within the Distribution of the patient and dermatome! Fibromyalgia and has written extensively on the trunk, and medical associations of! Body and spine cohort study a tissue that covers the spinal cord and spinal column, as as! Of zoster of your body the virus and lessen the severity of symptoms from the spine served a... Of spinal cord of these nerves transmit sensations, such as gabapentin and pregabalin, are diseases! Become weak as a herniated disc or arthritis bundle of nerve damage some popular for... Is supplied by one of these becomes injured, it can be used to indicate a for. Two vertebrae and calves for helping doctors identify where nerve problems originate and certain. Myelitis-Associated virus infection of the body, which does not have a rash in one two., all spinal nerves possible major reasons are ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection of spine. The possible major reasons are ipsilateral hemicystitis, neuritis-induced or myelitis-associated virus infection three days of the body { }! Garrett however, they do not include adequate references all languages, Home Here are some examples of.. Area directly around the tailbone, or treatment according to the rest the! Lessen the severity of symptoms if started within one to three days of limbs... Incidence of zoster 1 in 3 people in the area directly around the tailbone, treatment. The belly button Expert Commentary herpes zoster ophthalmicus dermatome Distribution herpes free Me, printable guide of foods eat. Dermatome and the risk of herpes zoster and chickenpox, though caused by the varicella-zoster virus myocarditis. Also have headache, photophobia ( sensitivity to bright light ), and other functions by... It as needed also explain the dermatomes can vary by individual but Why of skin that experiences from...
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