Pediatric dermatology, 20(5), 377-384. Redness is referred to in medicine as erythema. A mother brings her 6-week-old infant in with complaints of poor feeding, lethargy, fever, irritability, and a vesicular rash. Your baby seems floppy, fussy, or very drowsy. The scabies rash usually spreads across the whole body, apart from the head. Sponge bathe your baby with a gentle washcloth until the umbilical cord falls off, which usually takes about 14 weeks. There are some things you can do to ease the symptoms. 3: Medium brown skin with stage 3 of the chickenpox rash. Measles can spread to others easily. Cutis, 83(1), 13-16. The essence of the method is to apply the allergen to the mucous membranes. Erythema toxicum is a common rash seen in full-term newborns. 2006;23(3):301-302. doi:10.1111/j.1525-1470.2006.00243.x. The spots may look red. Required fields are marked *. 613-6. It usually appears in the first few days after birth and fades within a week. Before or after the rash appears, you might also get: Chickenpox is very itchy and can make children feel miserable, even if they do not have many spots. There may be a few to many lesions, and they may be found on any area of the body, with the exception of palms and soles. 4 It is most common in infants born at term and weighing. Erythema toxicum is a common rash seen in full-term newborns. Bed rest, cool compresses, elevation of the legs, and nonsteroidal anti-inflammatory drugs may help relieve the pain caused by the nodules. John Kaprielian/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/618191/view. . The mother's laboratory was unremarkable, including negative tests for human immunodeficiency virus . The first signs of hand, foot and mouth disease can be: After a few days mouth ulcers and a rash will appear. 58. Nodules, papules, vesicles with serous contents appear on the skin, opening and forming crusts, so polymorphism of rashes with erythema toxicum is formed. There are many raised patches of skin in different shapes and sizes very close to each other. Available at: http://www.dermnetnz.org/site-age-specific/toxic-erythema-newborn.html. Pediatric Allergy and Immunology, 18(8), 652-658. You'll need to stay away from school, nursery or work until all the spots have formed a scab. Morgan, A. J., Steen, C. J., Schwartz, R. A., & Janniger, C. K. (2009). Eaaw https://www.shutterstock.com/image-photo/seborrheic-dermatitis-on-head-asian-baby-561450823. The allergist evaluates the results of the tests. Impetigo starts with red sores or blisters, but the redness may be harder to see in brown and black skin. You don't need any special treatment for ETN. Erythema toxicum does not have seasonality, occurs in any geographical latitudes, has no racial differences, occurs equally often in both women and men. [1] ETN resolves spontaneously within 1-2 weeks after birth. A spotty rash that appears on the head or neck and spreads to the rest of the body could be measles. Erythema toxicum is found in about half of all babies. Stavrus-Evers, A, Hultenby, K. "Erythema toxicum neonatorum is an innate immune response to commensal microbes penetrated into the skin of the newborn infant". Occasionally onset is delayed until 10 days after birth or it recurs in the first 2-6 weeks after birth. Question - My 6 week old baby developed a rash over torso/back groin - 1R. Everyone in your home needs to be treated at the same time, even if they do not have symptoms. Erythema Toxicumis a benign condition that resolves spontaneously without leaving any effects on the baby. How long does erythema toxicum neonatorum last for? It affects anywhere from 30 to 70 percent of newborn babies. Some scabs are flaky while others leak fluid. Usually disappears on its own in about two weeks; may linger for a few months. You cannot take antibiotics or medicines to cure hand, foot and mouth disease. If pathology occurs in newborns, only full-term infants who are breastfed fall into the risk group. (Accessed on 02/16/2015). The diagnosis is made by a dermatologist on the basis of anamnesis, clinic, allergic tests, microscopy of skin scrapings, examination of breast milk. Erythema toxicum is a common, splotchy rash of newborns. They can look at the rash and recommend the best antifungal medicine. Erythema toxicum neonatorum is a benign, self-limited, transient, evanescent eruption that occurs in approximately 48% to 72% of full-term infants. The rash makes your skin feel rough, like sandpaper. This image shows light brown skin with a hives rash. The affected infant is usually healthy. Some spots appear slightly flatter. Assessment of the newborn infant. It usually appears in the first few days after birth and fades within a week. Erythema toxicum is a local change in the color of the skin and mucous membranes of an inflammatory nature against the background of general intoxication of the body. It is both benign and self-limited. In newborns, the risk of developing pathology increases many times if the mothers pregnancy proceeded with complications (fetal hypoxia), in an environmentally unfavorable area, and also if more than 6-12 hours have passed between the birth of the baby and its first application to the breast. MR . ETN is an inflammatory reaction of the skin characterized by erythematous papules and sterile pustules that typically presents within the first 72 hours of life. You do not usually need to see a GP for slapped cheek syndrome. The condition can last for several days. The rash may be scaly, dry, swollen or itchy. The diagnosis is typically made based on history and examination of the rash by the physician. The primary task of the therapy of the pathological process that has arisen is to exclude contact with the allergen that caused the allergic reaction. More serious spots and rashes in newborn babies tend to appear on the body, and are often accompanied by a fever or other symptoms. They are inch to 1 inch (1 to 2.5 cm). Primary elements tend to spread and form foci with fuzzy boundaries. In term babies who get erythema toxicum, the rash usually comes up 1-3 days after birth. It seems to be a result of the skin's regulatory mechanisms adjusting to life outside the uterus. Erythema toxicum is a local change in the color of the skin and mucous membranes of an inflammatory nature against the background of general intoxication of the body. The spots form a scab. Epidemiologic study of the predisposing factors in erythema toxicum neonatorum. The rash generally appears on the face or midsection of a baby's body, but it may also appear on their arms or thighs . It is less common the earlier babies are born before term. The spots cover the lower part of a person's back and the side of their hip. The skin is slightly darker brown where the rash is. An itchy, spotty rash is the main symptom of chickenpox. Pediatric dermatology, 18(3), 177-187. Erythema toxicum. It mostly affects full-term Black . Save my name, email, and website in this browser for the next time I comment. Your child is unwell with a rash and has any of these symptoms: On brown and black skin, it may be easier to see the rash or colour changes on the soles of the feet, palms, lips, tongue and inside the eyelids. You can usually treat molluscum contagiosum at home. They usually appear on the face, body, upper arms and thighs. Some patches are bright pink and others are lighter pink with a darker edge around the patch. In fact, this is an allergic reaction of unclear etiology that occurs spontaneously on the 2-5 day of the babys life, manifested by polymorphic flaky rashes over the entire surface of the skin, excluding palms and soles, and disappears after 3 days. They gradually involute in the weeks after birth. Initially, as a compensatory reaction, the immune and reticular systems of the dermis are activated in the body, T-lymphocytes begin to actively produce antibodies designed to bind and neutralize antigens foreign to the body. Dermnetnz.org. Probably, this is a reaction of the newborn associated with the disappearance of the protective intrauterine film. Skin that's itchy, dry and cracked may be atopic eczema. It usually appears in the first few days after birth and fades within a week. What does the nurse . According to various authors, the disease occurs in 4-70% of newborns, the statistics of the prevalence of the process in adults is unknown. There are about 25 spots on a person's upper back. It makes them worse and can lead to infection. It usually gets better after a few weeks or months. It affects anywhere from 30 to 70 percent of newborn babies. Even at the time of the rash, babies do not generally experience any rash-related discomfort or pain. The rash can be on the baby's face, chest, arms, and legs, but usually won't be on the palms or soles of the feet. The information published on the website is intended only for familiarization and does not replace qualified medical care. It seems to be more common in babies born at full term (between 37 and 40 weeks of gestation) compared with premature babies. Cradle cap is not itchy or painful and does not bother your baby. As old lesions disappear, new ones appear and the total duration of erythema toxicum neonatorum is from five days to two weeks. And it may last for a few days or weeks, though some cases may last for several months. Erythema Toxicum is a non-cancerous (benign) skin condition that is usually seen in newborns. The palms and soles are often left out. Erythema toxicum neonatorum (ETN), also known as erythema toxicum and toxic erythema of the newborn, is a very common skin lesion that appear on a newborn infant in the first week of life. What it looks like: Small yellow or white bumps surrounded by red skin. The skin around some of the blisters is pink. (Accessed on 02/16/2015). The first signs of scarlet fever can be flu-like symptoms, including a high temperature, a sore throat and swollen neck glands (a large lump on the side of your neck). Most of the spots have scabs over them. DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/259737/view, Mediscan / Alamy Stock Photo https://www.alamy.com/stock-photo-measles-rash-52503125.html?pv=1&stamp=2&imageid=51D0C664-0A7F-4989-BD3A-03BD405059E3&p=17774&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3Dbar%26st%3D0%26sortby%3D2%26qt%3DD1BM7H%26qt_raw%3DD1BM7H%26qn%3D%26lic%3D3%26edrf%3D0%26mr%3D0%26pr%3D0%26aoa%3D1%26creative%3D%26videos%3D%26nu%3D%26ccc%3D%26bespoke%3D%26apalib%3D%26ag%3D0%26hc%3D0%26et%3D0x000000000000000000000%26vp%3D0%26loc%3D0%26ot%3D0%26imgt%3D0%26dtfr%3D%26dtto%3D%26size%3D0xFF%26blackwhite%3D%26cutout%3D%26archive%3D1%26name%3D%26groupid%3D%26pseudoid%3D788068%26userid%3D%26id%3D%26a%3D%26xstx%3D0%26cbstore%3D1%26resultview%3DsortbyPopular%26lightbox%3D%26gname%3D%26gtype%3D%26apalic%3D%26tbar%3D1%26pc%3D%26simid%3D%26cap%3D1%26customgeoip%3D%26vd%3D0%26cid%3D%26pe%3D%26so%3D%26lb%3D%26pl%3D0%26plno%3D%26fi%3D0%26langcode%3Den%26upl%3D0%26cufr%3D%26cuto%3D%26howler%3D%26cvrem%3D0%26cvtype%3D0%26cvloc%3D0%26cl%3D0%26upfr%3D%26upto%3D%26primcat%3D%26seccat%3D%26cvcategory%3D*%26restriction%3D%26random%3D%26ispremium%3D1%26flip%3D0%26contributorqt%3D%26plgalleryno%3D%26plpublic%3D0%26viewaspublic%3D0%26isplcurate%3D0%26imageurl%3D%26saveQry%3D%26editorial%3D1%26t%3D0%26edoptin%3D, https://www.shutterstock.com/image-photo/measles-baby-408024505. Please remove adblock to help us create the best medical content found on the Internet. It affects as many as half of all full-term newborn infants but is less common in infants born prematurely. Usually, the rash and bumps disappear within one to two weeks. Some spots are raised and appear to be forming a round or oval blister in the centre. Miroslav Beneda / Alamy Stock Photo https://www.alamy.com/stock-photo-detail-baby-with-chicken-pox-rash-53122372.html?pv=1&stamp=2&imageid=55E4EE6E-6F54-4758-A74B-4058E5E59B4E&p=85303&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dD2BX3G%26qt_raw%3dD2BX3G%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d%26ispremium%3d1%26flip%3d0%26pl%3d. Most babies only need to be bathed 23 times per week. You may need to use an antifungal medicine every day for up to 4 weeks. This is usually 5 days after the spots appeared. Many of the spots have formed a round or slightly oval shaped raised blister. Pediatr Res. It usually becomes visible within 2-5 days. And the rash itself looks frightening to many parents. It should get better in a few weeks without treatment. Your baby's hair may come away with the scales. Small, slightly raised, pink spots cover their leg. It affects anywhere from 30 to 70. Some of the bumps are small circles and others are larger, uneven shapes. This very common and completely benign condition usually arises in the first 2 days of life. There is congenital (develops in utero) and acquired (occurs during life under the influence of exogenous and endogenous factors) erythema toxicum. Clinically, the pathological process is characterized by polymorphic rashes, since erythema toxicum with the passage of time and the aggravation of sensitization of the body is able to transform into nodules and pustules that open with the formation of crusts. Erythema toxicum neonatorum is a harmless skin condition that may occur within the first couple of days of life. It usually appears in the first few days after birth and fades within a week. The rash usually lasts about 5 to 7 days. Erythema toxicum neonatorum (ETN) is a fairly common skin condition in newborns. Recurrences are uncommon however when they do occur, they are mild and appear in the sixth week of life. Up to half of all newborns will have erythema toxicum (air-uh-THEE-muh TOK-sih-kum). Many of the blisters are white and shiny. The sores or blisters quickly burst and leave crusty, golden-brown patches. It can be anywhere on the body. Dermatologists, allergologists, pediatricians are engaged in the diagnosis of the pathological process. Use warm water and a baby-specific liquid cleanser that is mild and unscented. Many of the spots have formed a round or slightly oval shaped raised blister. There are more than 50 chickenpox spots covering a child's chest and upper arms. The rash is made up red blotches. This can be due to inflammation or injury. Marchini, G., Stbi, B., Kankes, K., LonneRahm, S., stergaard, M., & Nielsen, S. (2003). It can appear anytime from . Significant mucosal involvement distinguishes erythema multiforme major from multiforme minor. Your email address will not be published. Item: ~'?Mark ~ f> a ~ ~ , GJIIA) a. ld : 3122 PreVIOUS Next lab Values Notes Calculator Reverse Color Text Zoom A 2-day-old girl in the newborn nursery sign in sign up 053 Ped Erythema Toxicum Neonatorum [PDF] In premature babies who get it, the rash usually starts several weeks after birth. The hives rash can be raised patches in many shapes and sizes. Some spots are close to others and some are further apart. It occurs when the blood capillaries (the smallest blood vessels in the body) closest to the surface of the skin are congested and dilated (widened). Score: 4.2/5 (65 votes) . The rash often looks red, but this may be less obvious on brown or black skin. Also, not having a risk factor does not mean that an individual will not get the condition. On brown and black skin the colour of the rash might be harder to see. It is sometimes also confused with serious infections, such as herpes. Erythema toxicum neonatorum (ETN) is a skin condition in newborn babies. Most spots are flat, less than 5mm, and have dark red scabs. Heat rash can usually be treated at home. What is erythema caused by? BIOPHOTO ASSOCIATES/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/262529/view. DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/567974/view, https://www.sciencephoto.com/media/1191488/view, Biophoto Associates/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/699021/view, Enid English / Alamy Stock Photo https://www.alamy.com/stock-photo-a-three-week-old-bay-with-cradle-cap-on-the-eye-brows-uk-72546963.html?pv=1&stamp=2&imageid=746A9B75-BE6E-4761-B017-402502B1F105&p=84355&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dE60PAY%26qt_raw%3dE60PAY%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d32846%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d1%26ispremium%3d1%26flip%3d0%26pl%3d. Chickenpox happens in 3 stages. Most importantly, it poses no danger to your baby it's a short-lived and self-limiting condition that will resolve on its own without treatment. Erythema toxicum Where it appears: Anywhere on the body. Very itchy raised spots could be caused by tiny mites that burrow into the skin (scabies). A clinical diagnosis of erythema toxicum neonatorum was . This image shows light brown skin with stage 1 chickenpox spots. Erythema toxicum neonatorum is a benign, self-limited, transient, evanescent eruption that occurs in approximately 48% to 72% of full-term infants. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. Toxicum? There are some things you can do to help reduce the risk of the infection spreading and help ease any symptoms. Erythema toxicum is not contagious. In addition, with erythema toxicum, a diet with an increased content of vitamins and minerals is recommended. It can be in one area of the body or spread over a large area. Small, firm, raised spots could be molluscum contagiosum. It is sometimes confused with other benign conditions such as milia, miliaria, or baby acne. A majority of cases are reported in babies more than 2 days old, In some cases, it may appear in the first few hours following birth, Full-term babies (those born between 37 and 40 weeks of gestation) are more commonly affected than premature or preterm babies, There is no known ethnic or racial predilection identified. Erythema toxicum appears as small (1-3 mm), firm, yellow or white raised bumps filled with pus on top of a red area of skin. This stage is the forerunner of the further development of allergy in the patient. Clinically, the pathological process is characterized by polymorphic rashes, since erythema toxicum with the passage of time and the aggravation of sensitization of the body is able to transform into nodules and pustules that open with the formation of crusts. Key Concepts # Erythema toxicum is benign. Average incubation is 1 week, but can be as many as 3 weeks. A 1986 study reported that 40.8% of 5387 Japanese neonates examined over a period of 10 years were identified as having erythema toxicum neonatorum. 2: Light brown skin with stage 1 of the chickenpox. Alamy Stock Photo https://www.alamy.com/stock-photo-chicken-pox-lesions-52503353.html?pv=1&stamp=2&imageid=942ABBCD-1E5B-45A0-B303-F69C496349ED&p=17774&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dD1BMFN%26qt_raw%3dD1BMFN%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%7bA883FDE5-7F3D-4472-81F5-B61111916852%7d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d. 1 spot appears to be flatter. The spots vary in size from around 3mm to 6mm. If you are not sure, check with a GP. Raised, itchy patches or spots could be caused by an allergic reaction (hives). 2022. Some spots are close to others. Loisjoy Thurstun / Alamy Stock Photo https://www.alamy.com/close-up-of-toddler-with-urticaria-caused-by-sensitivity-to-plum-skins-image8981367.html?pv=1&stamp=2&imageid=51FCF349-CE6C-46DB-B51B-CBCAE97EA94D&p=373224&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3Dbar%26st%3D0%26sortby%3D2%26qt%3DAP98R8%26qt_raw%3DAP98R8%26qn%3D%26lic%3D3%26edrf%3D0%26mr%3D0%26pr%3D0%26aoa%3D1%26creative%3D%26videos%3D%26nu%3D%26ccc%3D%26bespoke%3D%26apalib%3D%26ag%3D0%26hc%3D0%26et%3D0x000000000000000000000%26vp%3D0%26loc%3D0%26ot%3D0%26imgt%3D0%26dtfr%3D%26dtto%3D%26size%3D0xFF%26blackwhite%3D%26cutout%3D%26archive%3D1%26name%3D%26groupid%3D%26pseudoid%3D%26userid%3D%26id%3D%26a%3D%26xstx%3D0%26cbstore%3D1%26resultview%3DsortbyPopular%26lightbox%3D%26gname%3D%26gtype%3D%26apalic%3D%26tbar%3D1%26pc%3D%26simid%3D%26cap%3D1%26customgeoip%3D%26vd%3D0%26cid%3D%26pe%3D%26so%3D%26lb%3D%26pl%3D0%26plno%3D%26fi%3D0%26langcode%3Den%26upl%3D0%26cufr%3D%26cuto%3D%26howler%3D%26cvrem%3D0%26cvtype%3D0%26cvloc%3D0%26cl%3D0%26upfr%3D%26upto%3D%26primcat%3D%26seccat%3D%26cvcategory%3D*%26restriction%3D%26random%3D%26ispremium%3D1%26flip%3D0%26contributorqt%3D%26plgalleryno%3D%26plpublic%3D0%26viewaspublic%3D0%26isplcurate%3D0%26imageurl%3D%26saveQry%3D%26editorial%3D1%26t%3D0%26edoptin%3D. The scabs are yellow and pink and the skin around the scabs is pink. Since normal capillary blood circulation in the dermis is designed to provide every skin cell with nutrients and remove decay products, with the onset of the pathological process, the vessels additionally expand to remove harmful substances, therefore erythema toxicum persists until the regression of the primary elements. It affects anywhere from 30 to 70 percent of newborn babies. It is rarely seen on the palms or the soles. But adults usually have a high temperature for longer and more spots than children. 1: White skin with stage 3 of the chickenpox rash. On children with darker skin, the rash might look brown, purple or grey. Erythema refers to redness of the skin. Nlm.nih.gov. Erythema multiforme is an immune-mediated, typically self-limiting, mucocutaneous condition characterised by 'target' lesions . The spots vary in size from around 5mm to 1cm. It occurs in the early neonatal period, that is, in the period from birth to . 2015. It is characterised by red macules and papules, with pustules appearing in a third of cases. The patch may look red, pink, silver, or darker than surrounding skin. Erythema Toxicum is a non-cancerous (benign) skin condition that is usually seen in newborns, Erythema, a word derived from Greek, means redness, while neonatorum refers to the neonatal period (first 28 days following birth of the child), Erythema Toxicum is a common and benign condition affecting about 50% of all babies born full-term. Science Photo Library Image is currently not live on their site as the company who were hiring the image has gone into liquidation. They can last for weeks or even months on a baby's skin. Erythema toxicum neonatorum. Prevention comes down to hardening. Milia, erythema toxicum and spots are harmless. Prospective Study of Erythema Toxicum Neonatorum: Epidemiology and Predisposing Factors. The symptoms are usually the same in adults and children, but they can be worse in babies and children under 5. A rash of small, raised bumps that feels rough, like sandpaper, could be scarlet fever.

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