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Long H, Zhang G, Wang L, Lu Q (2016) Eosinophilic skin diseases: a comprehensive review

He had a history of stage II chronic kidney disease, myxomatous mitral valve prolapse requiring mitral valve repair in 2014, and seronegative arthritis involving his bilateral hands, wrists, knees, and ankles diagnosed in 2019, as well as peripheral neuropathy of unclear etiology that was diagnosed simultaneously with his arthritis

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Use proper injection technique, pinching skin if needed