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Confluent and reticulated papillomatosis may result from an endocrine disturbance because the condition is more commonly seen in patients with obesity, diabetes mellitus, Cushings disease, hirsutism, menstrual irregularities, thyroid disorder, and pituitary disease

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These practices degrade soil quality, cause desertification, decrease biodiversity, and expose agricultural workers to dangerous pesticides and chemicals

The pipestone quarries of modern Minnesota were even neutral ground, as many tribal nations travelled to obtain their sacred pipestone from there