melanotic macule pathology outlines 9 | Vulva - Pigmented
Description
10.1111/j.1440-1797.2012.01642.x 31

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They may itch or bleed, are usually irregular in shape, with an irregular edge, and show variable pigmentation

Gram-stained smears from affected tissues may reveal large Gram-positive rods that tend to decolourize easily when sporing

4 Compounders do not necessarily need to comply with all requirements detailed in USP to make these immediate use medications

It is biosynthesized in vivo from lysine and methionine (Rebouche & Paulson, 1986a) in the presence of ferrous ions and the vitamins, ascorbate, niacin and pyridoxine
