Data Sources: A PubMed search was completed using the MeSH heading Tinea[Majr] and including meta-analyses, guidelines, randomized controlled trials, and reviews. Conversely, if a nonfungal lesion is treated with an antifungal cream, the lesion will likely not improve or will worsen. However, it commonly reoccurs, in which case, ongoing treatment may be recommended. yesterday. Many fungal infections get better within 7 days of treatment with terbinafine - nail infections can take 3 months or more. Fungal diseases. In: Bolognia JL, et al. Cream Combination Skin Anti-Aging Day Treatment, Cream Oily Skin Anti-Aging Contour Treatments, Nature's Cure Cream Unisex Acne . Before giving you the diagnosis, your dermatologist may send a bit of the infected skin, hair, or nail to a laboratory. Usecondoms or another form ofcontraception if youre on it. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Ringworm can survive on objects for a long time. Ringworm is a fungus infection of the skin. You wont get a prescription for this if you haveliver disease orlupus. An infection of the skin caused by a fungus. Keep the affected area clean and dry. Thank you for taking the time to confirm your preferences. Continue to treat the area for as long as directed, even if you think your ringworm is cured. To prevent the spread of scalp ringworm, never wear someone else's hat or cap. Wash everything youve touched or worn in hot water and laundry detergent. The child with tinea capitis should return for clinical assessment at the completion of therapy or sooner if indicated, but follow-up cultures are usually unnecessary if there is clinical improvement. Ringworm, also known as dermatophytosis, is a common fungal skin disorder which commonly spreads by direct skin-to-skin contact with an infected person or animal. How long do you need to take antifungal drugs? . Heres how to spot this common fungal infection and how to wipe it out. All Rights Reserved. Treat your itching, cracking, scaling, burning, redness, soreness, chafing and irritation by applying this globe miconazole 2% strength antifungal cream. Skin scrapings and hair can be examined under the microscope immediately. This may make it less contagious. It needs direct skin contact to be passed this way. 8.8. Efficacy of ajoene in the treatment of tinea pedis: a double-blind and comparative study with terbinafine. Lotrimin AF (clotrimazole): Basics, Side Effects & Reviews - GoodRx Still, youd surely rather avoid the infection in the first place. How to Identify and Treat Athletes Foot Bumps, Oxistat cream or lotion (oxiconazole nitrate), Ringworm: diagnosis, treatment, and outcome, Treatment of interdigital tinea pedis with 25% and 50% tea tree oil solution: a randomized, placebo-controlled, blinded study, Efficacy of ajoene in the treatment of tinea pedis: a double-blind and comparative study with terbinafine. Clotrimazole: apply 2-3 times a day for at least four weeks. Ringworm (Tinea Corporis): What It Looks Like, Causes & Treatment Ringworm treatment usually depends on the part of the body that has it. Use another clean towel to dry the other parts of your body. 2-day shipping. Author disclosure: No relevant financial affiliations. was $49.99 $49.99. Iowa State University. Ringworm Treatment - Ringworm Cream- Relieves Itching - Cream Policy. It can smooth out deep wrinkles and lines, but the results arent permanent. Get our printable guide for your next doctor's appointment to help you ask the right questions. You can search by location, condition, and procedure to find the dermatologist thats right for you. Get relief from the itching and redness irritation of ringworm with Lotrimin AF Ringworm Antifungal Cream. Tick bite within the last month and new onset of "ringworm", Rash gets bigger or spreads after 1 week on treatment. At the end of the study, nearly three-quarters of the people who used the 25% solution had a significant improvement in their infection. In kids, the scalp is a common spot. Its not for use in children, the elderly, or those with severeliver disease. Lotrimin cream, Cruex spray powder, Mycelex, Pedesil (, Desenex topical powder, Fungoid cream, Micatin cream, Lotrimin AF athlete's foot spray or powder, Lotrimin AF Jock Itch spray powder (. The miconazole 3 day ringworm treatment cream works well for treatment of athletes ' feet and it is highly effective. You can expect permanent results in all but one area. 9.4. The fungus that causes ringworm thrives in warm, moist areas, so you want keep the area clean and dry. Some sources suggest treating ringworm with apple cider vinegar by rubbing some on the infected area and covering it with a bandage. Tolnaftate cream can be used to treat ringworm and jock itch, and to treat or prevent athlete's foot. Can You Get Athletes Foot on Your Hands? If ringworm on the skin doesn't go away after using a topical medication for the full amount of time directed, a stronger prescription medication may do the trick. Pet rodents also can carry it. Oral fluconazole is an option,32 but for most patients oral terbinafine is the treatment of choice because of its superior effectiveness,33 tolerability, and low cost.31,3438 Because toenails grow slowly, assessment of cure takes nine to 12 months. Lesions may be single or multiple and the size generally ranges from 1 to 5 cm, but larger lesions and confluence of lesions can also occur. No prescription is needed. Medications for ringworm are highly effective, but you can help them along by taking certain measures: It's possible, but it would likely take months for that to happen. Aloe vera Aloe vera contains six. Search dates: October 16, 2013, through July 16, 2014. Often it's caught from puppies or kittens that have it. 4 x Gotucream (2 fl oz) - Organic Ringworm Treatment Cream No prescription is needed. Both of these can be purchased online. Oral terbinafine is first-line therapy for tinea capitis and onychomycosis because of its tolerability, high cure rate, and low cost. Ledezma E, Marcano K, Jorquera A, et al. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Home remedies for ringworm: 11 natural treatments - Medical News Today 2023. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Policy. Fungal Skin Infections: Types, Treatment, and Prevention, Antifungal Cream: Types, Uses, and Side Effects, How to Treat Athletes Foot With Essential Oils. Throw out or disinfect shoes in the case of athlete's foot. Insert the cream inside the vagina once daily for 3 or 7 days (depending on treatment course). Ringworm is an itchy, contagious fungal infection that causes a ring-shaped pattern on your skin. To find out if you have ringworm on a nail, your dermatologist will clip off a bit of nail and remove some debris from under the nail. Wear fresh clothes, especially undergarments, every day. See your doctor if you dont see any improvement in your symptoms or infection after youve finished your treatment. Wash your clothes regularly and keep them dry when not in use. Fungal diseases: ringworm. Scan the slide under low power, and use high power to confirm hyphae in suspicious areas. The Put it on the rash and 1 inch (2.5 cm) beyond its borders. The clinical diagnosis can be unreliable because tinea infections have many mimics, which can manifest identical lesions. All information these cookies collect is aggregated and therefore anonymous. Black dot, caused by Trichophyton tonsurans, is most common in the United States (Figure 4). Athletes foot: An antifungal cream or spray that you buy without a prescription may clear athletes foot. Free shipping for many products! (However, nystatin is often effective for cutaneous. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. A second treatment course with the same or a different agent is reasonable if the diagnosis is confirmed. The best one for you will depend in large part on where the ringworm rash is located. Some of the most common types are: ( 3) Ringworm of the the skin on the body (tinea corporis) If you have signs of ringworm, you probably want it gone Sometimes a healthcare provider will prescribe prescription-strength ketoconazole shampoo to treat stubborn ringworm on the scalp. Dermatophytosis. Lotrimin AF Ringworm Cream, Clotrimazole 1%, Clinically Proven Effective Antifungal Treatment of Most Ringworm. These creams will: Most often, an OTC treatment works well to clear up The treatment you need forringworm depends on where the infection is on your body and how serious it is. Wear shower shoes. A 1999 study found that a gel containing ajoene helped treat tinea cruris (jock itch) and tinea corporis (ringworm on the skin). Jock itch: To treat this type of ringworm, your dermatologist may recommend an antifungal cream, spray, or powder that you can buy without a prescription. The most common infections in prepubertal children are tinea corporis and tinea capitis, whereas adolescents and adults are more likely to develop tinea cruris, tinea pedis, and tinea unguium (onychomycosis). Ajoene, which is a natural compound extracted from garlic, has also shown promise in the treatment of ringworm. Tinea corporis, tinea cruris, and tinea pedis can often be diagnosed based on appearance, but a potassium hydroxide preparation or culture should be performed when the appearance is atypical. In many cases, your doctor may recommend a drug you can buy over the counter (OTC) at your local drugstore. Medications that weaken your immune system and fungal infections. False-negative results on KOH preparations are common and are usually caused by inadequate material on the slide. You can buy an antifungal cream from pharmacies over the counter (OTC), or get one on prescription. Ringworm Remedies and Treatments There are two types of treatments for ringworm: topical and oral. are famously lax about keeping their hands to themselves) and athletes who You can review and change the way we collect information below. If the ringworm has spread to a fingernail, you will need to take an antifungal medicine to get rid of the infection. Mosby Elsevier, Spain, 2008:1138-46. This will help prevent the infection from coming back. Keep the affected area clean, dry, and covered. You typically apply the antifungal twice a day for 10 to 14 days. These considerations may warrant antifungal treatment in the absence of hyphae under the microscope.2 In a European study of 45,000 patients with suspected onychomycosis, general physicians performed a confirmatory test in only 3% of patients and dermatologists in only 40%.40 However, accurate diagnosis is important, especially for onychomycosis and tinea capitis, because these disorders have many mimics and the treatment is prolonged. More serious cases, and infections . The most common infections in prepubertal children are tinea corporis and tinea capitis, whereas adolescents and adults are more likely to develop tinea cruris, tinea pedis, and tinea unguium (onychomycosis). A tinea capitis sample for KOH preparation can be taken by scraping the black dots (hairs broken off at the skin line). Do not treat tinea capitis solely with topical agents, but do combine oral therapy with sporicidal shampoos, such as selenium sulfide (Selsun) or ketoconazole. Centers for Disease Control and Prevention. Cultures are usually not necessary to diagnose tinea corporis.2 Skin biopsy with periodic acidSchiff (PAS) stain may rarely be indicated for atypical or persistent lesions. But tinea can also infiltrate the feet (where its known as athletes foot) or the groin (hello, jock itch). A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. Ringworm vs. Eczema: What Are the Differences? Most of the time, ringworm can be treated with OTC topical medications that are applied directly to the affected areas. The sound of ringworm is enough to make your skin crawl. Others need a prescription. : "Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis. Verma S and Heffernan MP. Her work is regularly featured in media such as First For Women, Woman's World, and Natural Health. This applies to clothing, towels, and compresses. Special shampoo to help get rid of the fungus. However, kerion should be treated with griseofulvin unless Trichophyton has been documented as the pathogen. Lotrimin Ringworm Cream is an odorless, greaseless . Apply a topical antifungal Most cases of ringworm can be treated at home. Contact your healthcare provider if your infection doesnt go away or gets worse. How long is ringworm contagious? What to know - Medical News Today Studies show this vinegar does have some antifungal. The first Choosing Wisely recommendation from the American Academy of Dermatology is, Don't prescribe oral antifungal therapy for suspected nail fungus without confirmation of fungal infection.27 Clinicians who want to confirm the diagnosis of tinea infections before prescribing therapy have several options: (1) send the skin scrapings in a test tube to an off-site laboratory; (2) if feasible, perform the KOH preparation during the patient visit; or (3) substitute a test that involves less physician time, such as a culture or, in the case of onychomycosis, a PAS stain of nail clippings. Do not use topical clotrimazole or miconazole to treat tinea because topical butenafine (Lotrimin Ultra) and terbinafine have better effectiveness and similar cost (. Miconazole (Aloe Vesta Antifungal, Azolen,Baza Antifungal, Carrington Antifungal, Critic Aid Clear, Cruex Prescription Strength, DermaFungal, Desenex, Fungoid Tincture,Micaderm,Micatin, Micro-Guard, Miranel,Mitrazol, Podactin, Remedy Antifungal, Secura Antifungal). Ringworm of the scalp or beard. It also can causebirth control pills not to work. Also if you wait too long to treat ringworm, it can spread and become much harder to manage. Ketoconazole (Topical Route) Proper Use - Mayo Clinic Thankfully its not nearly as creepy (or as crawly) as it sounds. If it's between your toes, for example, it may be easiest to use an antifungal spray or powder. Repeat up to 3 times daily. Topical miconazole is used to treat tinea corporis (ringworm; fungal skin infection that causes a red scaly rash on different parts of the body), tinea cruris (jock itch; fungal infection of the skin in the groin or buttocks), and tinea pedis (athlete's foot; fungal infection of the skin on the feet and between the toes). Taking a sample is easy. Contains 1% Clotrimazole: This clinically proven ingredient relieves itchy, red skin as it treats the fungus that causes ringworm. Dermatologists care for people of all ages. KOH dissolves squamous cells but leaves the fungal elements intact. Alternatively, place a coverslip over the dry scrapings and a drop or two of KOH next to the coverslip and allow it to run under the coverslip. Because nails grow slowly, ringworm will take time to clear. Its common to have athletes foot and ringworm on one or both hands. Micatin Athlete's Foot, Jock Itch, and Ringworm Antifungal . What are the best over-the-counter medications for ringworm? What can I do to make ringworm heal faster? Ringworm is a fungal infection of the skin and scalp. Amazon.com: 3 day ringworm treatment Therefore, use an old microscope, and avoid spills and excess KOH on the slide. The ringworm may fail to clear if you stop taking it sooner than prescribed. RSV: What parents need to know and when to seek medical attention. Ringworm: 12 tips for getting the best results from treatment. All rights reserved. Before using the washcloth again, youll want to wash it in hot, sudsy water to kill the fungus. Wash your hands each time you touch your rash and before you touch anyone else. Nails: You need prescription medicine to clear ringworm from the nails. Keep using the cream for at least 7 days after the rash is cleared. These include ringworm on the skin that doesn't go away after OTC medication, ringworm on the scalp (tinea capitas), or ringworm of the beard (tinea barbae). MANAGEMENT. CDC twenty four seven. The spores of T. tonsurans will be contained within the hair shaft, but for the less common Microsporum canis, the spores will coat the outside of the hair shaft. Tinea corporis may be mistaken for many other skin disorders, especially eczema, psoriasis, and seborrheic dermatitis (Table 2).2,3 A potassium hydroxide (KOH) preparation is often helpful when the diagnosis is uncertain based on history and visual inspection. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. The scraped scale should fall onto a microscope slide or into a test tube. Some people suggest applying this would-be home remedy and covering the spot But it can strike anyone of any The diagnosis of onychomycosis should usually be confirmed with a KOH preparation, culture, or PAS stain because the treatment is long and potentially expensive, and the nonfungal mimics are common.27 In one study, less than 50% of dystrophic toenails resulted in positive fungal cultures.28 However, the involvement of multiple toenails, or accompanying tinea pedis, may justify treatment without confirming the diagnosis.29 The most sensitive diagnostic test, and the most expensive, is the PAS stain,30 which can be performed by placing toenail clippings or curettings in 10% formalin and transporting them to the pathology laboratory. Read our, Ringworm: Causes, Symptoms, and Treatment, Ringworm That Doesnt Respond to OTC Treatment. Untreated ringworm can cause skin to become cracked and open to bacterial infection, so it's best to treat it. University of Michigan. Microsporum infections result from exposure to infected dogs or cats and may produce much more inflammation than Trichophyton infections.4, Tinea capitis must be treated with systemic antifungal agents because topical agents do not penetrate the hair shaft. And those itchy red patches are all too common. says. Ringworm that appears on the feet (tinea pedis, or athlete's foot) may need to be managed differently than ringworm that affects the scalp (tinea capitis), for example. Prescription antifungal medications used to treat ringworm on the scalp include: Griseofulvin (Grifulvin V, Gris-PEG) Terbinafine Dogs can spread infection to you. WebMD does not provide medical advice, diagnosis or treatment. Tinea infections are caused by dermatophytes and are classified by the involved site. Skin: An antifungal ointment or cream often clears ringworm on the skin. Find out why dark spots appear and what can fade them. However, some patients resist systemic treatment, and ciclopirox nail lacquer (Penlac) can be offered together with information about its low cure rate. This can make ringworm harder to treat. The CVS Health Antifungal Ringworm Cream helps by relieving the following symptoms related to ringworm: It is intended for use in adults and children age 2 and older. Cleveland Clinic 1995-2023. Dermatophytes are usually limited to involvement of hair, nails, and stratum corneum, which are inhospitable to other infectious agents. Protect your feet at the gym or pool. infection that requires prescription treatment. Unless otherwise indicated, all trademarks are owned by Bayer, and its affiliates, or licensed for its use. Advertising on our site helps support our mission. Ringworm causes red, ring-shaped patches on the skin. The diagnosis of onychomycosis should generally be confirmed with a test such as potassium hydroxide preparation, culture, or periodic acidSchiff stain before initiating treatment. By Cathy Wong Children who have scalp ringworm often receive a medicine called griseofulvin. To use it, soak a cotton ball in undiluted apple cider vinegar and. engage in close contact, such as wrestlers. Typically, this medication has to be applied two to three times a day for at least a week before the ringworm infection begins to clear. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. infection spreads through skin-to-skin contact, so it often affects kids (who However, concomitant treatment with 1% or 2.5% selenium sulfide (Selsun) shampoo or 2% ketoconazole shampoo should be used for the first two weeks because it may reduce transmission.12,13 For many years, the first-line treatment for tinea capitis has been griseofulvin because it has a long track record of safety and effectiveness. If the infection is on yourskin as in the case of athletes foot orjock itch your doctor will likely suggest an OTCantifungal cream, lotion, or powder. J Am Acad Dermatol. Leah Ansell, MD, is a board-certified dermatologist and an assistant professor of dermatology at Columbia University. Many physicians treat tinea capitis without a confirmatory culture or KOH preparation if the presentation is typical (i.e., urban setting and child presents with scaling, alopecia, and adenopathy).2,7,8 The most common mimics include seborrheic dermatitis and alopecia areata (Table 2).2,3 In atypical cases, a KOH preparation can be performed by scraping the black dots (broken hairs) and looking for fungal spores. Creobic Scabies Treatment Cream Cure Skin Ringworm Parasites Itching The Center for Food Security & Pubic Health. This medicine is available both over-the-counter (OTC) and with your doctor's prescription. The active ingredient in this ringworm fungus treatment is clotrimazole, which relieves the discomfort of ringworm symptoms and is clinically proven to cure most ringworm. You should only use tea tree oil topically as it is toxic if ingested. Anti-Fungal Cream: Use an anti-fungal cream (such as Lotrimin) 2 times per day. Topical (skin) creams, ointments, gels and sprays. Sobera JO and Elewski BE. The sensitivity of the KOH preparation varies widely in different settings, ranging from 12% in a study of 27 Flemish general practitioners to 88% in a Nova Scotia tertiary care center 41 (Table 510,11,29,30,4148 ). If you have ringworm, your dermatologist will treat it with antifungal medicine. In addition to the common distal subungual form, which is characterized by thickened, brittle, discolored nails (Figure 5), onychomycosis may present with an uncommon proximal subungual form, which should raise suspicion of immunocompromise, and a white superficial form, which is more common in children than adults24 (Figure 6). Learn how to treat and prevent this common fungal infection. Ringworm Cream and Ointment Products | Lotrimin Good news, says Dr. Vij: Its generally easy to treat.. Patients with chronic or recurrent tinea pedis may benefit from wide shoes, drying between the toes after bathing, and placing lamb's wool between the toes.5 Patients with tinea gladiatorum, a generalized form of tinea corporis seen in wrestlers, should be treated with topical therapy for 72 hours before return to wrestling.6, Several pitfalls of managing tinea infections are listed in Table 3.2,7,8, In the United States, tinea capitis most commonly affects children of African heritage between three and nine years of age.4 There are three types of tinea capitis: gray patch, black dot, and favus. Subjects applied one of the three options to areas affected with a fungal infection twice a day for four weeks. Ringworm on the scalp (tinea capitis) usually needs to be treated with prescription antifungal medication taken by mouth for 1 to 3 months. Adjust the light filter and drop the condenser to achieve a low light level and increased refraction. 2 Pack Lotrimin AF For Jock Itch Cream, Antifungal, 0.42 Oz Each. Find many great new & used options and get the best deals for Antifungal Cream - Athletes Foot Cream, Treatment for Jock Itch, Ringworm at the best online prices at eBay! Gotucream brings such rapid relief from Ringworm bumps, pain, inflammation & infection that users and experts are left equally amazed. In fact, everyone with whom the infected person lives needs to use an antifungal shampoo. Jock itch: To treat this type of ringworm, your dermatologist may recommend an antifungal cream, spray, or powder that you can buy without a prescription. This content is owned by the AAFP. With proper treatment, a ringworm infection should clear up completely within a few weeks. Ringworm is a fungus infection of the skin. Lotrimin AF Athlete's Foot Powder Spray, Miconazole Nitrate 2%, Clinically Proven Effective Antifungal Treatment of Most AF, Jock Itch and Ringworm, 4.6 Ounces (133 . JOHN W. ELY, MD, MSPH, SANDRA ROSENFELD, MD, AND MARY SEABURY STONE, MD. Keep the infected area clean and dry. Ringworm (body) - Diagnosis and treatment - Mayo Clinic American Academy of Dermatology. The scraping should be taken with a #15 scalpel blade or the edge of a glass slide. In many cases, your doctor may recommend an over-the-counter (OTC) medicine you can get at the drugstore. Also searched were Essential Evidence Plus, the Cochrane Database of Systematic Reviews, and UpToDate. Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. You will be subject to the destination website's privacy policy when you follow the link. References It comes as a cream, powder, tincture, or spray. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. ", J Prosthodont: "Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis. Save with. Cookies used to make website functionality more relevant to you. In some cases a systemic drug (one that is taken by mouth) is necessary. While it Her work is regularly featured in media such as First For Women, Woman's World, and Natural Health. 9.3. Ringworm is not contagious after 2-3 days of treatment. When everyone uses antifungal shampoo, this helps prevent family members from infecting each other. Ringworm: diagnosis, treatment, and outcome. These strategies can help you avoid those telltale red rings 2012;63(11):848-58. doi:10.1007/s00105-012-2379-y. Apply and rub balm to affected area 1-3 times a day. These dermatologists' tips tell you how to protect your skin. The sample is then applied to Sabouraud liquid medium or Dermatophyte test medium. (or prevent them from spreading from one part of your body to another): Cleveland Clinic is a non-profit academic medical center. All rights reserved. Do not use oral ketoconazole to treat any tinea infection because of the U.S. Food and Drug Administration boxed warnings about hepatic toxicity and the availability of safer agents. Rarely, can be spread human-to-human. Do not use griseofulvin to treat onychomycosis because terbinafine (Lamisil) is usually a better option based on its tolerability, high cure rate, and low cost. KOH preparations are often needed to confirm the diagnosis of tinea infections (Figure 7). Centers for Disease Control and Prevention. Worsening after empiric treatment with a topical steroid should raise the suspicion of a dermatophyte infection. Tinea versicolor is a treatable condition. Heres what you need to know. Ingredients : Each 1 gram contains, Salicylic Acid 40 mg, Benzoic Acid 80 mg, Sulphur, Precipitated 100 mg . OTC and prescription medications are tried-and-true ringworm treatment options. . It requires direct skin-to-skin contact. These come as creams, ointments, powders, or sprays and usually work quickly. ringworm. Griseofulvin (Grifulvin V, Gris-PEG), terbinafine, anditraconazole are the oral medicines doctors prescribe most often for ringworm. It's more likely it will take two to four weeks for your symptoms to disappear completely if you're using a topical medication. Here is some care advice that should help. For more information, seeWebsite Privacy. Cathy Wong is a nutritionist and wellness expert. Because ringworm lives on top of the skin and is easily reached with ointments or creams,. 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 marketing efforts. Do not use a steroid to ease the itch: These medications weaken the immune system and could make a fungal infection worse rather than help heal it.To treat itching caused by ringworm, you can apply a cool, wet washcloth to the area for 20 to 30 minutes.
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