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Although vulvar lichen sclerosus can be a clinical diagnosis, skin changes may be difficult to differentiate from vulvar intraepithelial neoplasia, and a biopsy should be performed before treatment with topical steroid is initiated
Counseling by the patients physician and augmented by a professional cessation counselor can have a major impact
Certain competitions measure cloud size, while others measure the difficulty of different vapor tricks
In this case, our sample included 167,328 children
