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MS mimics melanoma and the differential diagnosis should be made excluding other melanin producing neoplasms especially melanoma
Pediatr Res 14:11271131 Matsuishi T, Stumpf DA, Seliem M, Eguren LA, Chrislip K (1991) Propionate mitochondrial toxicity in liver and skeletal muscle: acyl CoA levels

23 and expressed in mol/L

The NHS lists this as a common side effect and says it is harmless

PLC zeta: a sperm-specific trigger of Ca( 2+ ) oscillations in eggs and embryo development
