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This can be confused with a well-differentiated squamous cell carcinoma, especially in a superficial biopsy specimen PAS, S-100, and myelin basic protein stains are positive in the granular cytoplasm Angiokeratoma Clinical Angiokeratomas are vascular lesions and occurs almost exclusively on vulva of the child-bearing women The cause is unknown, but a patient with multiple angiokeratomas on the vulva and other sites should receive consultation for Fabry disease, which is an X-linked recessive disease associated with a deficiency of galactosidase A Patients are usually asymptomatic

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Once again, she was diagnosed with carbon monoxide poisoning

Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J., & Walker, N