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Pseudo-Hutchisons sign is a reflection of the pigmentation of nail bed and nail matrix through the transparent nail folds, whereas Hutchinsons sign is a feature of subungual melanoma where brown-black pigmentation from longitudinal melanonychia extends onto the proximal and lateral nail folds

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This is followed by a period of wearing the device without advancement during which ossification occurs within the osteotomy and consolidates the new maxillary position

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Diabetes Care (2003) 26(8):243341