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4.5
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Supplementary Data (download XLSX Supplementary Tables 112

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The majority of cases (n = 28, 84%) demonstrated hyperplastic/acanthotic surface epithelium with less common, atrophic (n = 4, 12.1%) or spongiotic epithelium (n = 2, 6.06%)

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This divergence creates potential synergybut also compounded sympathetic activation that warrants caution

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