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Treatment is complex, and therapeutic options include topical, intralesional, or systemic corticosteroids, retinoids, methotrexate, antimalarials, dapsone, and biologic therapies (adalimumab, secukinumab).6,7,33 Trachyonychia Two subtypes of trachyonychia have been described based on the clinical presentation: opaque or sandpaper trachyonychia and shiny trachyonychia

second, the parties have filed a motion, seemingly with permission from the judge, in regards to privilege logs

Conflicts of interest The authors declare that they have no conflict of interest

The U.K.'s National Institute for Health and Care Excellence, which creates guidance for the National Health Service, recommends two-year limits on the use of some weight loss medications, such as Wegovy