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This approach has more than doubled the efficiency of safely ruling out MI in the emergency department compared to standard guidelines (Doudesis et al., 2023

Based on location: Typical BMS: affecting the dorsal tongue Atypical BMS: affecting another site of the oral cavity than the tongue Based on Etiology: Primary BMS: Idiopathic etiology, no known cause Secondary BMS: associated with a cause as vitamin deficiency, Based on symptoms presentation during the day Type 1: Typically, it has no symptoms on waking and progressively worsens throughout the day, with variable nighttime symptoms

Areas prone to hyperpigmentation like around the mouth, under the eyes, or post-acne spots, may start lightening

The blue color is a structural effect, not a pigmentary one