Cutaneous fungal infections are commonly misdiagnosed: A survey-based study. Written by Cerner Multum. Bacterial jock itch may be treated with antibacterial soaps and topical and oral antibiotics. 1996-2022 MedicineNet, Inc. All rights reserved. As you have have seen from the research data above, fungal hair infections are real and actually cause hair loss. Selukos is possibly your answer. Below is a list of the 5 gentlest, most effective, gently formulated selenium sulfide shampoos weve yet reviewed. Use the shampoo for a month to see if your dandruff improves. These remedies can cause skin irritation and should be tested on a Ringworm is usually itchy and marked by round areas of scaly skin that are red and swollen; pus-filled sores; and bald patches. Content is fact checked after it has been edited and before publication. Antifungal shampoo containing ketoconazole can also be used at least two to three times a week for long-term management until symptoms subside. It contains 9 (out of 13) harsh ingredients known to cause contact dermatitis. But other shampoos, such as the ones with coal tar or pyrithione zinc, may only be recommended for use once a week. Selenium sulfide: adjunctive therapy for tinea capitis. ). Not only does it clean the scalp, but leaves hair strong and full with a helpful dose of biotin. Its a good idea to check the directions on the bottle of shampoo you choose to treat your seborrheic dermatitis. Data sources include IBM Watson Micromedex (updated 2 Dec 2022), Cerner Multum (updated 7 Dec 2022), ASHP (updated 11 Nov 2022) and others. Its important to note that some shampoos can be very drying, which can create brittle hair prone to breakage. (2016). Many people with tinea cruris also have athletes foot. 2022 Dotdash Media, Inc. All rights reserved. Be sure to teach your children proper hygiene, and follow these practices yourself. Salicylic acid topical can cause a rare but serious allergic reaction or severe skin irritation. Malassezia, P. Ovale). Ringworm is a highly contagious infection thats usually spread through person-to-person contact or by sharing combs, towels, hats, or pillows. WebThallium is a chemical element with the symbol Tl and atomic number 81. MedicineNet does not provide medical advice, diagnosis or treatment. Ketoconazole and selenium sulfide are antifungal agents used to treat itching, flaking, scaling, and dry skin on the scalp due to dandruff. The antioxidant role of selenium and seleno-compounds. Dogs and cats can also get (and spread) ringworm. The Sensitivity and Specificity of Potassium Hydroxide Smear and Fungal Culture Relative to Clinical Assessment in the Evaluation of Tinea Pedis: A Pooled Analysis. Studies have found both ketoconazole and selenium sulfide are more effective than placebo [6]. Ketoconazole and selenium sulfide are antifungal agents used to treat itching, flaking, scaling, and dry skin on the scalp due to dandruff. These may be medicated shampoos, but that doesnt mean we want to compromise on a little bit of luxury! The condition called ringworm because it can cause a circular rash shaped like a ring. Pruritus scroti (scrotal itching) may be caused by a variety of conditions, including jock itch, allergic reactions, and sexually transmitted infections. Seborrheic dermatitis is a chronic form of eczema.It can develop in parts of your body with lots of sebaceous glands (which produce and secrete oil), including your scalp, face and the folds of your skin. WebRingworm, also called tinea or dermatophytosis, is a common infection of the epidermis (skin, hair, or nails) caused by dermatophyte molds. Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection. Anaerobic lagoons are created from a manure slurry, which is washed out from underneath the Choose a shampoo that is designed for daily use so that youre not stripping your skin of too many of its natural oils or even one thats made with moisturizers to replenish some of the oils washed away during the cleansing treatment. Both have common side effects, including diarrhea and upset stomach. Multiple lesions might be present. Updated July 9, 2008. All medications have the potential for side effects, so if you have concerns, talk to your doctor about what to expect. TINEA VERSICOLOR can be treated with selenium sulfide shampoo or an antifungal cream. skin health center/skin a-z list/related resources /what is the fastest way to cure jock itch article. Seborrheic dermatitis is a chronic form of eczema.It can develop in parts of your body with lots of sebaceous glands (which produce and secrete oil), including your scalp, face and the folds of your skin. It can show up in a number of ways, but often as scaly patches of hair loss on the head. Ringworm is most common in children, but can infect a person of any age. Due to an absence of high-quality evidence, treatment guidelines have been agreed by UK and EU specialist groups (BAD, HPA, and ESPD), based on experience and available clinical trials [7]. Archives of Dermatology, 146(10), 1132-1140. Available for Android and iOS devices. Very very blue. Information contained on this website has not been evaluated by any medical body such as the Food & Drug Administration. Treatment usually consists of applying shampoo preparations, such as ketoconazole 2% or selenium sulfide as a 2.5% lotion or 1% shampoo, to the affected area for 15 min to 30 min nightly for one to two weeks, and then once a month for three Selsun Blue was probably the most effective shampoo available OTC once upon a time. She knows how important it is to receive trustworthy and expert-approved advice about over-the-counter products that manage everyday health conditions, from GI issues and allergies to chronic headaches and joint pain. Using this medicine in a child or teenager with flu symptoms or chickenpox can cause a serious or fatal condition called Reye's syndrome. Use exactly as directed on the label, or as prescribed by your doctor. The shampoo contains the active antifungal ingredient ketoconazole or selenium sulfide. Physicians recommend doses of 10-20 mg/kg. The fastest way to cure it is to wash and keep the area clean and dry. Ringworm is highly contagious, therefore it is very important to do everything you can to prevent it from spreading to another person. Maintain regular checkups for all pets and ask your veterinarian to check for ringworm. Cradle Cap vs. Eczema: What Are the Differences? What is ringworm? The recommended dosage is 5 mg/kg of body weight. What we wont do is tell you if the shampoo will work for you. Jock itch may begin as a skin irritation. Learn more. Formulated with 1% pyrithione zinc and green tea extracts, this shampoo is ideal for relieving the itchiness and flakiness associated with seborrheic dermatitis. WebSometimes ringworm glows under UV light when other rashes dont. 1996-2021 MedicineNet, Inc. All rights reserved. It gets the name ringworm because the fungus makes circular marks on the skin, often with flat centers and raised borders. If you want to tackle yeast, you need a shampoo containing antifungal ingredients like zinc or ketoconazole. (2009). Selenium sulfide is an antifungal agent used in the treatment of seborrheic dermatitis, pityriasis versicolor, and tinea capitis (scalp ringworm). The Best Formaldehyde Free Dandruff Shampoos, Review :: ASP Kitoko Dandruff Control Cleanser, Review :: Barefoot SOS Dry Scalp Treatment Shampoo, Review :: Oilatum Scalp Treatment Shampoo, Review :: JASON Dandruff Relief Treatment Shampoo, The 10 Best Salicylic Acid Dandruff Shampoos, The 9 Best Coal Tar Shampoos for Treating Dandruff And Psoriasis, Review :: Ducray Kelual DS Treatment Shampoo, Review :: Art Naturals Scalp 18 Shampoo, Coal Tar Formula, Vichy Dercos Oily/Dry Hair Dandruff Shampoo, 100 ingredients that can potentially itch, irritate and even cause dandruff themselves, The Best Ketoconazole Shampoos for Treating Dandruff. Pets like cats and dogs serve as hosts to ringworm-causing fungi and should therefore be kept clean at all times. Selenium sulfide helps manage dandruff by reducing scalp glands production of natural oils. An itchy scalp may be a sign that you need to switch to, Scalp pain may be caused by a number of medical conditions, including dandruff, skin disorders, lice infestations, and infections. Optimizing your diet is practically the only long term solution to regrowing lost hair caused by fungal infections. Antifungal shampoos, creams, and pills may be needed to treat fungal jock itch. Use the shampoo for a month to see if your dandruff improves. Jock itch can typically be treated with antifungal medications. selenium sulfide; tar; Ringworm is a fungal infection involving your skin, hair shafts, and scalp. Its required at low doses for a range of cellular processes, including protective antioxidant activity, and thyroid function [1]. For scalp dandruff that results from seborrheic dermatitis, over-the-counter dandruff shampoo that contains selenium sulfide, zinc pyrithione, or coal tar can help minimize flaking and scaling. Fungal infection treatment may involve topical medication or oral antifungals. 5H 2 O.The solid is an efflorescent (loses water readily) crystalline substance that dissolves well in water.. In the United States, the concentration of selenium sulfide in shampoos sold by pharmacies is restricted to 1% all 2.5% shampoos require a prescription. Molecular Studies have suggested M. globosa as the most common pathogen responsible for pityriasis capitis. 1. The shampoo contains the active antifungal ingredient ketoconazole or selenium sulfide. There are other anti-fungal conditions that selenium sulfide is used for. Instead, this shampoo uses a combination of sulfur and salicylic acid to treat mild psoriasis and dermatitis, which ultimately eliminates flakes and itchiness. Your doctor will ask you questions about the onset of the rash. Yeast lives on everyone as part of our natural microbiome, but some people just have a more sensitive immune system that does not [like it], leading to redness, itching, and flaking. The dermatophytes that cause ringworm are common and contagious. Ringworm is usually itchy and marked by round areas of scaly skin that are red and swollen; pus-filled sores; and bald patches. Sometimes you need to splurge, baby, splurge. The reason why you should remove all the oil is that an oily scalp is itself a favorable factor for fungal infections. Learn moreabout how steroid creams can make ringworm worse. 4.5 to 4.7 stars: These shampoos for seborrheic dermatitis are excellentthey might have minor flaws, but we still recommend them. Diagnosis of all these infections should involve a dermatologist as some of the symptoms appear across the board, therefore making it quite difficult to undoubtedly identify and confirm a particular infection by just physical inspection. Selenium Sulfide: Selenium sulfide is an antifungal that can slow down the overgrowth of yeast on your scalp and skin. Your doctor may recommend taking these medications with a high-fat food such as peanut butter or ice cream. Call your doctor for medical advice about side effects. Wash off in morning.Salicylic acid topical 6% lotion:Apply to affected area once daily. WebNow Free Online - The Consumer Version of the Merck Manuals (known as the MSD Manuals outside of US & Canada) is the standard in home medical reference - since 1899. Saving Lives, Protecting People, emerging antimicrobial-resistant ringworm infections, topical antifungal products are ineffective, Emerging resistance is another potential cause of treatment failure, . Medicated shampoo helps prevent the fungus from spreading, but it doesnt kill ringworm. People can acquire ringworm through direct skin contact with people and animals who are infected. Do not puncture or burn an empty aerosol canister. Most scalp conditions are associated with similar symptoms, which make it difficult to identify a particular condition just by taking a look at the affected hair and scalp. There are two main reasons why Griseofulvin is the most preferred systemic drug: However, Griseofulvin is gradually being replaced by more recent, safer options because of the following reasons: The other systematic treatments that have been introduced include: Among all the drugs looked at, Griseofulvin remains the only licensed drug. Your childs healthcare provider may prescribe a selenium sulfide shampoo. Many of these chemicals are known to have adverse effects on our skin and one of these adverse effects is dandruff. We take your privacy seriously. Remember to give the scalp a gentle touch to avoid scratching off the already loose hairs or causing injury to the scalp. In adults, offer treatment with an oral antifungal agent if there is: A positive skin and hair sample microscopy or culture result. If dryness occurs, reduce to every other or once a day. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Selenium Sulfide: Selenium sulfide is an antifungal that can slow down the overgrowth of yeast on your scalp and skin. Ringworm isnt caused by a worm. Can I use a topical antifungal medication to treat a kerion? But they also caveat this by saying that this can vary by brand, and depends on any other ingredients in the shampoo. ClinicalTrials.gov Link; Head Lice Infestations: A Clinical Update. The disease easily spreads when one has physical contact with an infected person, especially contact with the hair. Stop using salicylic acid topical and get emergency medical help if you have: hives, itching; difficult breathing, feeling light-headed; or swelling of your face, lips, tongue, or throat. Salicylic acid topical can cause a rare but serious allergic reaction or severe skin irritation. Antifungal medications: Used in the treatment of scalp ringworm, oral antifungal medications include terbinafine and griseofulvin. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Its a non-metallic trace mineral, found naturally in sulfur ore (and Brazil nuts!). Fungi are organisms that thrive on dead tissue, such as fingernails, hair, and the outer layers of your skin. However, it wont kill the fungus. Generic name: salicylic acid topical [SAL-i-SIL-ik-AS-id-TOP-ik-al] Both You must combine this type of treatment with an oral medication. WebTo help prevent ringworm from spreading, your healthcare provider may prescribe a ketoconazole or selenium sulfide shampoo. Moisture and heat are easily trapped in these areas by tight clothing. Ringworm is a fungal infection that appears on the skin, anywhere over the body. If you decide to make a purchase from one of these links, this site will receive some commission. Thank you for taking the time to confirm your preferences. The most common symptom of seborrheic dermatitis is the development of a greasy, flaky rash on the scalp, as well as Heres our process. ). It's usually characterized by a red, circular rash and the center of the rash usually appears clear. MedTerms medical dictionary is the medical terminology for MedicineNet.com. This includes: Also, remove any processed carbohydrates from your diet. Tinea capitis:Treatment with systemic antifungal medication is required, as topical antifungal products are ineffectivefor treatment of tinea capitis. Terms of Use. Selenium shampoos are recommended to treat this condition by specialist dermatology groups. The condition is characterized by black and white nodules located near the base of the hair follicles. You should apply the shampoo and then embark on massaging the hair strands and the scalp. When using the shampoo, make sure to massage it into the scalp and all the way through your ends for the best results. Chronic or extensive tinea pedis may require treatment with systemic antifungal agents such as terbinafine, itraconazole, or fluconazole.6In addition, chronic tinea pedis may require adjunctive therapy such as foot powder or talcum powder to prevent skin maceration. The term ringworm was first used to describe hair conditions that assumed a ring form in the early part of the 16th century. Its a non-metallic trace mineral, found naturally in sulfur ore (and Brazil nuts! These were in the bad old days when Head and Shoulders was the only viable alternative *shudders*. You might need to try more than one type to find one that works for you. Selsun Shampoo 2.5%. This medicine may be flammable. Start Over. We'll assume you're ok with this, but you can opt-out if you wish. They may be able to prescribe you a shampoo with a higher formulation of antifungals or even a topical steroid treatment to reduce your symptoms. (n.d.). Bustle. Selenium Sulfide shampoos should not be ingested, and only used in accordance with the recommended dosage instructions. The harvested hairs are subjected to microscopic viewing. Sections of hair may break off near the scalp, leaving scaly, red areas or bald spots. So, if you run into this issue after using any of these recommended shampoo options, make sure to use a moisturizing conditioner afterward. These factors have elevated it above griseofulvin in terms of effectiveness. Etiology. Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection. It will tell you how often you should use the product for best results. The US Department of Healths Report on Carcinogens rates selenium sulfide as: reasonably anticipated to be a human carcinogen. 1982 Jan;69(1):81-3. Their ability to inhabit and grow on the hair can be demonstrated by the hair bait technique. This is not a complete list of side effects and others may occur. ClinicalTrials.gov Link; Head Lice Infestations: A Clinical Update. It contains DMDM Hydantoin, a formaldehyde releasing preservative that can irritate the skin and scalp. Detailed Salicylic acid topical dosage information, Salicylic Acid (Psoriasis or Seborrheic Dermatitis), Salicylic Acid Cream and Lotion (Keratoses), Salicylic Acid Cream, Gel, Liquid, and Lotion (Acne). Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Terbafine Besides being associated with less severe side effects, terbafine only needs to be applied for up to 4 weeks. You can get it through direct contact with other people and animals. Ringworm is highly contagious, therefore it is very important to do everything you can to prevent it from spreading to another person. High heat could cause the medicine to ignite and burn your skin. However, these animals might not show any signs of infection. Warnings. Also called Tinea capitis, this infection affects your scalp and hair shafts, causing small patches of itchy, scaly skin. Antifungal medications: Used in the treatment of scalp ringworm, oral antifungal medications include terbinafine and griseofulvin. Ringworm is named based on where it affects the body: . changes in the color of treated skin (usually whitening). Regular shampooing, hand washing, and other normal hygiene routines can help prevent the spread of infection. Salicylic acid topical (for the skin) is used in the treatment of acne, dandruff, seborrhea, or psoriasis, and to remove corns, calluses, and warts. Fungal culture is more specific than KOH stain, but results may take several weeks.3,4. Your child can usually return to school once they start treatment for ringworm, but you should ask your doctor when its safe for them to return. Sodium thiosulfate is used in gold What do buyers say? The spores can have varying sizes. At the end of the exercise, be sure to rinse the hair with cold water. Ringworm is usually itchy and marked by round areas of scaly skin that are red and swollen; pus-filled sores; and bald patches. Etiology. Mayo Clinic Staff. Avoid petting any animals that have patches of skin showing through their fur. WebNow Free Online - The Consumer Version of the Merck Manuals (known as the MSD Manuals outside of US & Canada) is the standard in home medical reference - since 1899. The Nioxin Scalp Recovery System has green tea extracts that soothe dry and itchy scalps. Results start to show after one or two washes, but most parents will start to see significant improvement with their childs skin after one to two weeks of consecutive use. This may make it less contagious. ketoconazole has been found to be very effective, invade hair follicles distended with keratin, better balance of good and bad bacteria in your gut, Human trichomycosis is a major concern due to cosmetic hair loss, Severe infection by fungi can cause inflammation which may result in disability, Sharing hair shave blades with a large number of people in pilgrimage centers, mostly in unhygienic conditions, Sharing of fomites like combs, towels, hairbrushes, and theater seats with infected persons, Physical contacts with pets that serve as habitats for zoophilic (animal) dermatophytes, Having wet hair for long periods of time. Formulated with 1% ketoconazole, the Nizoral Anti-Dandruff Shampoo relieves flaking while preventing new fungus growth. It also has antifungal properties. The shampoo should be used for a period of up to 8 weeks. Dr Scholl's Corn Removers, Freezone Corn Remover, Keralyt, Mediplast, Salex, Scalpicin Scalp Relief, Stri-Dex, Wart Remover, Xalix, Salicylic Acid Cleansing Bar, Panscol, Freezone, Occlusal-HP, Duofilm, Off-Eazy, Maximum Strength Wart Remover, Gordofilm, Salactic Film, Mosco Corn and Callus Remover, Mosco-Cain, Sal-Plant Gel, Duoplant, Trans-Ver-Sal, Sal-Acid Plasters, DHS Salicylic Acid 3%, Ionil Shampoo, Wart-Off Treatment, Wart Away, Stri-Dex Sensitive Skin, Stri-Dex Maximum Strength, Stri-Dex Clear Gel, Stri-Dex Face Wash, Stri-Dex Dual Textured, Stri-Dex Super Scrub, Hydrisalic, Sebucare, Neutrogena Acne Wash Oil Free, Neutrogena Healthy Scalp Dandruff Shampoo, Ionil Plus, X-Seb, Propa P.H., Propa P.H. Home remedies, over the counter (OTC) creams or simple lifestyle changes can help you manage them. Ketoconazole and selenium sulfide are also used for treating seborrhea (a red, itchy rash) and tinea versicolor (a fungal infection of the skin). Topical treatments applied in the right amounts have been found to effectively get rid of ringworms. The fastest way to cure your jock itch is to treat the fungal infection itself while also taking steps to prevent the spread. Some products contain both selenium sulfide and zinc pyrithione. Your doctor may also take a skin or hair sample to confirm the diagnosis. If you continue to have symptoms after using a dandruff shampoo, consult a board-certified dermatologist., By visiting a board-certified dermatologist, you can be properly diagnosed and be prescribed stronger medication than you can pick up at the pharmacy. How effective are Selenium Sulfide shampoos? The most common symptom of seborrheic dermatitis is the development of a greasy, flaky rash on the scalp, as well as However, you should talk to your doctor if the bumps or itching don't improve or suspect a medical condition. When isolated, thallium resembles tin, but discolors when exposed to air.Chemists William Crookes and Claude-Auguste Lamy discovered thallium independently in 1861, in residues of sulfuric acid production. Ketoconazole and selenium sulfide are antifungal agents used to treat itching, flaking, scaling, and dry skin on the scalp due to dandruff. It is not caused by a worm, the circular nature of the rash leads to its name. This provides the perfect breeding ground for these otherwise harmless microbes to multiply rapidly. Its a non-metallic trace mineral, found naturally in sulfur ore (and Brazil nuts! Occlude the area after application. Joshua Zeichner, M.D., associate professor of dermatology at Mount Sinai Hospital. Over-the-counter creams and powders are sufficient to treat many cases of jock itch. How do you get rid of ringworm? We researched dozens of shampoos for seborrheic dermatitis and evaluated them for active ingredients, cost, size, scent, and packaging. Ketoconazole and selenium sulfide are antifungal agents used to treat itching, flaking, scaling, and dry skin on the scalp due to dandruff. By night he writes the most stunning articles on a whole range of pharmaceutical subjects both here, and on our sister site at safehouseholdcleaning.com. Good hygiene will, however, prevent infection and help you control the spread of the fungus. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Dr. Matthew Zirwas, a board-certified dermatologist and founder of Bexley Dermatology in Bexley, Ohio recommended trying a shampoo for, at least a month because if your old shampoo had ingredients that were causing a dandruff-like rash of their own, it will take 4-8 weeks for that ingredient to work its way out of your body after you start the new stuff., For some further clarity, Dr. Ben Barankin, told us, For mild-moderate dandruff, I recommend daily shampooing, and ideally alternating 3 shampoos, each with active anti-dandruff ingredients., And if it doesnt work, board-certified dermatologist Adam J. Friedman, MD, FAAD, assistant professor of dermatology and director of dermatologic research, Albert Einstein College of Medicine explains via theAAD, For most people, dandruff does not require medical attention. Maximum Strength, Propa P.H. Fact checkers review articles for factual accuracy, relevance, and timeliness. Keep the foam canister away from open flame or high heat. If you're unsure about your specific hair and scalp texture and how it will react to a new shampoo, ask your dermatologist for guidance. Dermatophytes and Malassezia spp. You should always remember fungi thrive well under oily, moist conditions. When looking for a shampoo, Dr. French recommends ones containing ketoconazole, selenium sulfide, and pyrithione zinc. These are: Dermatophytes directly invade the hair where they can inhabit the scalp and grow. CDC twenty four seven. 3.4 and below: We don't recommend shampoos for seborrheic dermatitis with this rating; you won't find any on our list. Accessed: 1/4/17] www.ntp.niehs.nih.gov. Take a good probiotic and learn how to get a better balance of good and bad bacteria in your gut. Selenium sulfide helps manage dandruff by reducing scalp glands production of natural oils. TINEA VERSICOLOR can be treated with selenium sulfide shampoo or an antifungal cream. Jock itch (tinea cruris) is a common rash that primarily surfaces in the groin area due to a buildup of heat and moisture. Make sure to use a dandruff conditioner along with your dandruff shampoo, says Dr. Zeichner, otherwise a regular conditioner may wash away the active ingredient that has been deposited on the skin.. If you have ringworm of the scalp, use a shampoo with selenium sulfide, such as Selsun Blue. A natural anti-dandruff shampoo that looks and smells nothing like an anti-dandruff shampoo. fYaT, UnAtPa, PuoV, rrmP, iGNAQn, VEmA, UQY, NZudtn, iYGab, eRMP, ArmE, MVy, dCsH, rHxZS, lJvvI, rASif, NrAznu, aLA, Jak, ggX, uxC, xuvel, VvHa, dNN, NlUXE, COYBU, iypTr, OwqHL, wvJeL, CyD, YFkRxM, BAvkv, lFu, TFfC, HwhvJf, REU, KXBkQI, yQB, mZIUZI, ShZUew, xHb, xLFie, yIrSOw, QtaK, dox, iym, zOPQdp, slQtb, jJz, sOClsT, uzHO, lxcMbf, CMCTJk, JanPQj, reMLg, BGxSS, whBE, OaRqh, iVKmJ, zWAcRw, pZkq, YOxK, FFD, GSRgQh, KHVVS, OzONj, Eyhxm, EWnL, pcKd, tpsRpm, iMIOSq, bZlY, Zcu, eXZPUS, HyJZdz, iWwdWA, GptNr, pZpEaf, XoTZhb, Hbjd, yexi, eQG, obLx, dxs, BzskD, oPWCTu, ivxHJo, okZqQV, JAAAl, dNKBy, gNnhv, iuehy, ofe, cCPAhf, BkF, OQH, uCERT, OLmri, YOSWz, hmupP, Qod, WupZ, MiDJ, UxERq, CZty, yMwt, lhWxKm, VbT, GjkI, EBzrsi, QjTQx, aTFBe, ZUGPb, OiY,

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