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( 50 , 51 ). The process of integrating a chronic illness like diabetes into one’s identity is not always easy; people may struggle to accept diabetes and its treatment as part of their life and self, particularly when treatment for diabetes can be
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(paraproteinaemia and neoplasia) as well as scleroderma must be considered as critical differential diagnoses. As a rule, the course of Buschke’s scvleredema is chronically progressive. Therapeutically, the setting of the underlying disease is decisive. As a
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conditions. Such pathways have been proposed, including stimulation by catecholamines ( 34 ) and cytokines ( 35 , 36 ). While these pathways may explain the dissociation of cortisol and ACTH relationships in critical illness and post-surgery ( 35 , 36