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The nail pigmentation in LHS need to be distinguished from pigmentations caused by other disorders, which include subungual hemorrhage, candida onychomycosis, tinea unguium, lichen planus, post-trauma pigmentation, extrinsic staining, chemotherapy, AIDS, malignant melanoma, etc

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When left untreated, night blindness can progress to xerophthalmia, a condition that can damage your cornea and ultimately lead to blindness ( Another early symptom of xerophthalmia is Bitots spots, which are slightly elevated, foamy, white growths that occur on the conjunctiva or white part of the eyes

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