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Typically, the patient presents with an enlarging mass that might be associated with pain, paresthesia, weakness, or radicular pain [4]

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Examination of the mucous membrane of the hard palate revealed several blue-pigmented macules with ill-defined borders merging into the surrounding mucosa (Figure 2)

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If after 12 weeks of treatment, weight has not decreased by at least 5%, the use of Orlistate and the accompanying diet should be reconsidered

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Sphingolipids and their metabolism in physiology and disease

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Edited by: Rucker RB, Sultie JW, McCormick, DB, Machlin LJ

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