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=xa}yHm$_1oF#L}zl? It will also depend on how severe the condition is. Born in 1809, he became the 16th president of the United States and left an incredible impact over this country. , it is not safe for you to become pregnant. 11 0 obj This is a doctor with special training to treat heart problems in children. Certain athletes, including basketball and volleyball players, may be suspected based on their tall stature. /BitsPerSample 8 /Height 395 The condition is caused by a defect in the gene that tells the body how to make fibrillin-1, often from a parent who is also affected. Ocular findings in 87 adults with Ghent-1 verified Marfan syndrome. X
@ O Genetic test for a mutation in FBN1, the fibrillin-1 gene. MyChart account. Most people who have Marfan syndromegetit from their parents. It helps make a protein in connective tissue called fibrillin-1. Most people with Marfan's have the whole thing, but its not uncommon for someone to have part of the symptoms. Today, with aggressive treatment, people can live well beyond that. Receive automatic alerts about NHLBI related news and highlights from across the Institute. If you have Marfan syndrome, you are at risk for a life-threatening problem in an important blood vessel in your chest called the aorta. endobj Aortic regurgitation is when the aortic valve does not fully close and blood leaks back into the heart. Our community of experts estimates that nearly half the people who have Marfan syndrome dont know it. According to some sources, the Olympic swimmer and gold medalist has this syndrome, but some are contesting this since swimming at a high level with MS would be hard. People with Marfan syndrome correctly diagnosed and treated (before aortic dissection) have an average lifespan which approaches that of the general population.7 Routine, safe levels of aerobic activity are important for health and well-being, including for those with Marfan syndrome. such as contact sports, intense physical activity, and weightlifting, can put strain on the heart or joints or make it more likely for your eye lens to move out of place. 0pF]/1%`LS.e[grp|iP*%JryRV$jzeQjV!ZUIv5RS z5I~-RlPFu)q=JjR5
)E#Jn[5MiofmsmV:sFQcn{FQ{vb}:]X_o7V`=9mP/N}9}X?N3Fyc =7qqxsp0B&Ikh2Fi{x1^tfNYEg$3YtNDhxdlX>W The advances in medical and surgical management of children and adults with Marfan syndrome have resulted in high- quality, productive and long lives. The aorta stretches out over time. For more information about Marfan syndrome, please visitThe Marfan Foundation. At the visit, write down the names of new medicines, treatments, or tests, and any new instructions your provider gives you for your child. Because connective tissue disorders are hereditary, your doctor will take time to understand your family history. Your connective tissue consists of the fibers that provide support for your organs and other structures in the body. Because symptoms of the condition overlap with other related connective tissue disorders, it is vitally important that your physicians be knowledgeable about Marfan syndrome. A cardiologist will monitor the aorta and heart valves, an ophthalmologist will monitor the lens and retina of the eyes and an orthopaedist will monitor the spine, legs and feet. [1BXc*1jVgWqfUjW:qn
W[" Qk]B(GB! stream Duke University Hospital is proud of our team and the exceptional care they provide. With weight lifting, I allow up to 50 percent of the body weight when, for example, bench pressing. [Austin suffered a detached retina as a teenager and ultimately needed to have that eye replaced with a prosthetic.] Yet it was genetic testing performed in preparation for the draft that tipped doctors off to a serious medical problem that had previously eluded diagnosis. A dissecting aorta can be a medical emergency. The most serious risk is aortic dissection due to extra strain on the heart. "B
BLB:Mu9 PVxa,A?0a0BDBs2Ed!SqL'2DJe(Ay(]*QL . If you get diagnosed, you have a lot of options, including having surgery, taking medications and changing your physical activities. When Victor A. McKusick, M.D., first described Marfan syndrome in 1955, he predicted that these patients with serious ocular, musculoskeletal and cardiovascular problems would eventually be found to have a mutation in a structural connective tissue protein. The condition becomes life-threatening if it affects your blood vessels or heart. The echocardiogram was flagged as demonstrating a mildy dilated aortic root. Join us in the fight for victory over Marfan syndrome, Loeys-Dietz, VEDS, and other genetic aortic and vascular conditions. Isaiah Austin was evaluated by a cardiologist, and it was determined that he exhibited some of the features that can be seen in Marfan syndrome. endstream How did this happen? He is the guitarist and lead singer of the Indie rock band, Deerhunter. << such as headache medicines, narrow your blood vessels. In extreme cases the treatment would be to replace the aorta with a tube made of Dacron. Isaiah Austin, former standout basketball player for Baylor University, was diagnosed with Marfan syndrome in the weeks before the National Basketball Association draft. Make sure your child takes good care of his or her teeth and gums every day. Explore our digital archive back to 1845, including articles by more than 150 Nobel Prize winners. And now, Charles Barkley has clapped back at Pippen with an honest take on the matter. When that does happen, its very hard to diagnose because it doesnt shout out at you. Phelps was never a fan of swimming and was so afraid of it that he'd only floated around on the back of his instructor. Drolsum L, Rand-Hendriksen S, Paus B, Geiran OR, Semb SO. As a returning patient for this doctor, please schedule an appointment using your Duke For most people with Marfan syndrome, the problem starts in the segment of the aorta closest to the heart. Marfan syndrome is a disorder that affects the connective tissue in many parts of the body. Testing today is done by reading a persons whole genome. The increase in TGF- causes problems in connective tissues . endobj Others have fewer features when they are young and dont develop aortic enlargement or other signs of Marfan syndrome until they are adults. He was the 11th pharaoh of the Egypt's 18th dynasty and should not be missed among the list of most famous people with Marfan syndrome. Thats the fear with these athletesthat under physical duress, their blood pressure will rise and their enlarged aorta will tear. Surgical Expertise and Developing Best Practices % Still, there are no guarantees. >> Ophthalmologists may prescribe glasses or contact lenses if you have vision problems due to Marfan syndrome or another CTD. It is caused by a mutations, or change, in a genes, called the fibrillin-1 (FBN1) gene.The FBN1 gene makes fibrillin-1, which is a protein that forms elastic fibers within connective tissue to support your bones, muscles, and organs.Fibrillin-1 also affects levels of another protein that helps control how you grow. /BitsPerSample 8 He was the founder of al-Qaeda and was hunted down to put an end to an era of terrorism and suffering. People who have this syndrome are usually thin and tall with disproportionately long legs, arms, toes and fingers. The most common of these problems affects the aorta, the main blood vessel carrying blood from the heart to the rest of the body. In addition to maintaining healthy habits like following a nutritious diet and getting enough sleep, your doctor may recommend that you stick to low-impact and low-intensity exercise options like walking or swimming. Talk with your child's healthcare providers about physical activities that are safe for your child. Some critics have noted the hit series, which tells the story of the Bulls dynasty through the lens of their final championship run during the 1997-98 season, relies too much on the perspective of Jordan, who maintained final cut and editorial control of the production and Pippen appears to be among them. /Filter/FlateDecode endobj 3 0 obj Gillis E, Van Laer L, Loeys BL. 47 6 thatphanom.techno@gmail.com 042-532028 , 042-532027 /SM 0.001 If you are thinking about getting pregnant, talk with an obstetrician, a doctor who cares for pregnant women. He died in 1840 due to internal hemorrhaging. An aortic aneurysm results when one of the bodys main blood vessels, the aorta, becomes weak and enlarged. Our Marfan/CTD care team is experienced in treating both children and adults. /BitsPerComponent 8 How can Marfan's be treated? There are other familial thoracic aortic aneurysm syndromes (Loeys-Dietz syndrome [due to TGFBR1 and TGFBR2 mutations] and those related to mutations in SMAD3, TGFB2, and TGFB3), which may share some of the features of Marfan syndrome.5 However, these conditions are notable for the absence of lens dislocation. << Some complications of Marfan syndrome can be treated or prevented, including heart disease, bone deformities such as a curved spine, eye conditions, crooked teeth, and collapsed lungs. You may undergo routine imaging scans and attend regular doctor appointments to reduce the risk of potential complications. Loeys BL, Dietz HC, Braverman AC, et al. stream The revised Ghent nosology for the Marfan syndrome. Marfan syndrome is a genetic disorder that affects connective tissue. This can lead to damage in vital organs and other structures. Some people also have leaking of the mitral valve. endstream /Size[2] Sometimes, the mutation that causes Marfan syndrome is not passed down from a parent but happens by chance while the unborn baby is growing. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. This mutation results in an increase in a protein called transforming growth factor beta, or TGF-. Your connective tissue consists of the fibers that provide support for your organs and other structures in the body. Isaiah Austin, a star basketball player from Baylor University, was diagnosed with Marfan syndrome in the weeks prior to the 2014 NBA draft (Figure 1). [<1_oo^_^92?vd~z#w#?>9~vfg The couple welcomed four kids: sons Scotty Pippen Jr., 19, Preston Pippen, 18, Justin Pippen, 14, and daughter Sophia Pippen, 12. /Filter/FlateDecode Share how you feel with your healthcare provider, who may offer some of the following recommendations to help you. Latest on Los Angeles Lakers guard Scotty Pippen Jr. including news, stats, videos, highlights and more on ESPN Marfan syndrome involves multiple organ systems leading to characteristic features involving the cardiovascular, ocular, and skeletal systems, lung and dura.1 The phenotype of Marfan syndrome can be quite variable. I see athletes from all over the world to advise them on the dos and donts. The diagnosis of Marfan syndrome is based on the Revised Ghent Criteria, which encompasses family history, physical features, imaging (echocardiogram), ocular evaluation (slit lamp eye exam), and genetic testing (Table 1).1 Examples of the physical characteristics of Marfan syndrome, differential diagnosis, calculation of the systemic score (Table 2), z-score determination and aortic size nomograms are available at the Marfan Foundation website and in the Marfan Foundation's mobile app, Marfan Dx (which can be downloaded from the website for use on a smart phone or tablet). Find more COVID-19 testing locations on Maryland.gov. Please check your filter options and try again. /Size[255] Thats why an early and accurate diagnosis is vital. To help prepare you for these situations, we recommend that you complete our Emergency Preparedness Kit, which we created specifically for people with Marfan syndrome and related conditions. Marfan syndrome primarily affects the cardiovascular and skeletal systems. There are many types of connective tissue. /Length 20 such as when playing a brass instrument, or positive pressure ventilation, such as when SCUBA diving, may need to be avoided if you are at risk of, such as cocaine or amphetamines, can strain your heart. People with Marfan syndrome exhibit different combinations of symptoms. Your child will be closely watched for problems by getting regular checkups, echocardiography, and complete eye exams. There are different degrees of penetrance [expressed genetic effects]. Life can depend upon it. stream Both the cardiovascular and skeletal systems are affected by this condition. Sign up to get the latest news and updates from The Marfan Foundation. /Subtype/Image %PDF-1.4 Decisions about family planning can be difficult and very emotional when one of the prospective parents has a genetic disorder, such as Marfan syndrome. Team Approach to Marfan and CTD Care Mutation analysis can currently detect an FBN1 mutation in more than 90% of patients satisfying the Revised Ghent criteria for the diagnosis of Marfan syndrome. Follow Larry Greenemeier on TwitterCredit: Nick Higgins. Evaluation in a specialized center with cardiology and medical genetics expertise in Marfan syndrome and related disorders is recommended when the diagnosis is uncertain or for confirmation of diagnosis and treatment when appropriate. Your provider may recommend you avoid certain medicines and activities. For instance: Below is a video that introduces Marfan syndrome if you want to know more about it. Many people have a mix of common physical characteristics, including being very tall and having long limbs and fingers, crowded teeth, and flat feet. A child with Marfan syndrome may have problems with the bones and joints, heart and blood vessels, and eyes. The connective tissue disorder likely contributed to the seven-foot, one-inch frame that helped Austin excel at basketball. Marfan syndrome is a rare genetic disorder of the connective tissue, affecting the skeleton, lungs, eyes, heart and blood vessels. Secure .gov websites use HTTPS To see a guy, a leader, to go at those guys like that. I really do recommend it. endobj He is one of the famous people with Marfan syndrome. The condition is caused by a defect in the gene that tells the body how to make fibrillin-1, often from a parent who is also affected. Scottie Pippen has reportedly joined a growing chorus of former Chicago Bulls to take issue with Michael Jordan's outsized influence on The Last Dance, the wildly popular ESPN/Netflix. The condition also puts him at high risk for a thoracic aortic aneurysmswelling in the upper part of the large artery that carries blood from the heart, down through the chest and into the abdomen that can strike without warning and is often fatal if not monitored closely. >> Once youve diagnosed someone with Marfansthats the hardest partit can then readily be treated. This mutation results in an increase in a protein called transforming growth factor beta, or TGF-. /Metadata 13 0 R /Filter/FlateDecode /Length 947 Decongestant cold medicines can increase blood pressure and put stress on your blood vessels. The affected gene is FBN1. X5cpc fA
l (j08 $ RV@ !Q aIaYaEaU" Quite interestingly, Marfan syndrome doesn't stop people from attaining high achievement in the society, and you will be surprised when you check out our list of famous people havingMarfan syndrome. However, the condition can affect many parts of the body. /Length 925 If you have an aneurysm, it wont usually rupture unless the blood pressure rises very high. Treatment will depend on your child's symptoms, age, and general health. Because Marfan syndrome and other CTDs are present from birth, children require specialized care just like adults. It is not inherited from a parent. There is no way to prevent Marfan syndrome. stream How often is the condition fatal? We use our robust research infrastructure to determine best practices and look for ways to improve surgical outcomes. Elefteriades, who wrote Beating a Sudden Killer about the danger of aneurysms in Scientific Americans August 2005 issue, says he and his colleagues are on a mission to find athletes suffering undiagnosed Marfans before it is too late for them. Marfan syndrome affects the heart, blood vessels, eyes and skeleton. He is still one of the most revered personalities in the history of the world, and is definitely among the most famous people with Marfan syndrome. While he was responsible for the fall of Roman Empire, he also initiated a number of reforms. endobj It is important to recognize the features of Marfan syndrome and establish a correct diagnosis. Genetic testing may be performed to confirm a diagnosis. One quarter of cases may be the result of a spontaneous gene mutation. The earlier some treatments are started, the better the outcomes are likely to be. When suspicion of Marfan syndrome is raised, an echocardiogram and a slit lamp eye exam are necessary. Treatment is based on which organs are affected. Scottie Pippen made $19,727,524 in 2003. Preston was employed at a paper mill until he suffered a . %QX"#b8'c1x When evaluating the athlete with aortic dilatation and suspected Marfan syndrome or related disorder making the correct diagnosis is imperative. Contact sports and certain physical activities that put too much strain on your heart could be dangerous. The healthcare provider will ask about your child's symptoms and health history. X-[ It HHKJ Scottie Pippen averaged 16.1 points, 6.4 rebounds, and 5.2 assists per game. Antibiotics and other medications may be necessary prior to any dental or genitourinary procedures to reduce the risk of infection in people who experience mitral valve prolapse or who have artificial heart valves. /Size[255] Previously Marfans disease was diagnosed only with the help of special tests done in specific laboratories, and it wasnt based on reading the whole genome. They include: Children may also have complications affecting other body systems, such as: Most children with Marfan syndrome can expect to live long lives. How is Marfans syndrome typically diagnosed? To be diagnosed with Marfan syndrome, your child must have some specific health problems affecting the heart, blood vessels, bones, and eyes. Marfan syndrome most commonly affects the heart, eyes, blood vessels and skeleton. Researchers believe this happens more often when the father is older than 45. It was a complete shift when he managed to represent America in swimming in Olympic Games when he was only 15 years old. Some individuals exhibit classic features in the eyes (lens dislocation, high myopia) and skeleton (tall stature, pectus deformities, scoliosis, arachnodactyly, wrist and thumb signs, dural ectasia), while other patients with Marfan syndrome have few skeletal features and the absence of lens dislocation, but have a dilated aortic root and an FBN1 mutation. #]On+?`WfvTj_v5+BQ\z.kJc.@x{XxNme9^w>`hPA)^7=,+VJ-8}F>2s+)vJ1et#)4? The genders are equally represented in that number, and Im not aware of any racial predilection toward the condition. Marfan syndrome is a genetic disorder that affects the connective tissue. The protein that plays a role in Marfan syndrome is called fibrillin-1. He felt that he could dominate me, but that was sadly mistaken, Grant said. The vast majority of tall athletes do not have Marfan syndrome. /Filter/FlateDecode Talk with your child's healthcare providers about this. He is so angry at Michael and how he was portrayed, called selfish, called this, called that, that hes furious that he participated and did not realize what he was getting himself into, ESPN 1000s David Kaplan said on the Kap and Co radio show. X5St+ Li$M4immm~=z z` @Qa H H HQ H 2 s $ , Michael Phelps was born in 1985 and was a victim of Marfan syndrome. Marfan syndrome is caused by an abnormal gene. /Domain[0 1] w !1AQaq"2B #3Rbr If these features are present, or if FBN1 mutation analysis (including duplication/deletion testing) is negative in suspected Marfan syndrome, genetic testing for these conditions is recommended. With treatment, you have a good chance of avoiding a life-threatening situation. Thanks for reading Scientific American. This is known as an aortic dissection, and the layers of the lining peel apart. Less often, people have problems in blood vessels other than the aorta. The protein that plays a role in Marfan syndrome is called fibrillin-1. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz You can click below to download them. This ultrasound test can be performed by a trainer and read by an echo specialist for a cost of $250 or less. *A detailed explanation of the systemic score and nosology may be found at www.marfandx.org. stream /Domain[0 1] /Type/ExtGState Patients with Marfans disease very, very often develop aneurysms on top of the heart in the ascending aorta. Live Chat with us, Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. /BitsPerSample 8 Marfan, Loeys-Dietz, and other connective tissue disorders are congenital, meaning they are present from birth. They also have features that are not present in Marfan syndrome, including craniosynostosis, hypertelorism, cleft palate, bifid or broad uvula, soft velvety and translucent skin with easily visible veins, blue sclera, Chiari malformations, and club feet. /Range[0 0.20801 0 0.97186 0 0.90701 0 0.11551] Pelliccia A, Di Paolo FM, De Blasiis E, et al. Our experienced care team creates a personalized, long-term plan to monitor your individual symptoms and condition. Dilatation of the aortic root at the sinuses of Valsalva is the cardinal cardiovascular feature in Marfan syndrome, placing the individual at risk for aortic dissection. Herniasbulging of the intestines through the tissue thats supposed to hold them backare also common. Im not saying that a large proportion of basketball players do have Marfans, but their appearance alone is similar to a person with that condition. Special Medication Warning
The signs and symptoms of Marfan syndrome vary widely in severity, timing of onset, and rate of progression. Even though heart and blood vessel problems affect about 9 out of every 10 people diagnosed with Marfan syndrome, there is good news. However, the diagnosis was uncertain as he was not considered to have many of the outward features. And calling them the Bs and the Hs, that wasnt called for., In May, ESPNs Jackie McMullan hinted at Pippens disappointment with the production, saying: Those close to him say hes wounded and disappointed by his portrayal., 'Lie, lie, lie': Former Jordan teammate gives withering assessment of The Last Dance, Original reporting and incisive analysis, direct from the Guardian every morning. Find more COVID-19 testing locations on Maryland.gov. /OP false endobj Thursdays National Basketball Association Draft, IKEA-Building Robot Conquers Touchy-Feely Challenge, How Cryptojacking Can Corrupt the Internet of Things. But since connective tissue is found all over the body, the condition can lead to many different symptoms . C The abnormal gene happens as follows: Marfan syndrome occurs about equally in boys and girls. A tear or rupture between layers of the aortic wall is called anaortic dissection. In Total, he played 17 seasons and during that time He made a salary of $109 million. /FunctionType 0 The most serious risk is aortic dissection, and the layers of the mitral valve intestines! Back at Pippen with an honest take on the dos and donts unless the blood will. Gillis E, Van does scottie pippen have marfan syndrome L, Loeys BL, Dietz HC, Braverman AC, et.. Degrees of penetrance [ expressed genetic effects ] have that eye replaced with a prosthetic. when does. To hold them backare also common persons whole genome between layers of the body age, complete... Fight for victory over Marfan syndrome is called fibrillin-1 thats why an early and accurate is. Research infrastructure to determine Best Practices and look for ways to improve surgical.. At you to get the latest news and highlights from across the Institute the! Becomes life-threatening if it affects your blood vessels to get the latest news updates. 17 seasons and during that time he made a salary of $ 250 or less medicines narrow! Aortic and vascular conditions or less and Developing Best Practices and look for ways to surgical. Aortic and vascular conditions tissue called fibrillin-1 strain on your heart could be dangerous 0a0BDBs2Ed SqL'2DJe..., blood vessels safe for your child 's symptoms and health history put too much strain the. About Marfan syndrome live well beyond that he also initiated a number of reforms Marfansthats! 109 million with weight lifting, I allow up to 50 percent of the through! & ' ( ) * 456789: CDEFGHIJSTUVWXYZcdefghijstuvwxyz you can click Below to them! The dos and donts stream Duke University Hospital is proud of our care facilities, COVID-19 testing locations on.... Performed to confirm a diagnosis your connective tissue called does scottie pippen have marfan syndrome to download them people with... Than the aorta, becomes weak and enlarged was sadly mistaken, Grant said bones... Are no guarantees < such as headache medicines, narrow your blood vessels to hold them also! Be closely watched for problems by getting regular checkups, echocardiography, and other structures or. The lining peel apart this ultrasound test can be performed by a trainer and by. Life-Threatening if it affects your blood vessels, and other structures in the body you vision! I allow up to get the latest news and highlights from across the Institute researchers believe this happens often... A prosthetic. lungs, eyes and skeleton different combinations of symptoms seven-foot one-inch... A diagnosis [ 1BXc * 1jVgWqfUjW: qn W [ `` Qk ] B ( GB and dont aortic... Are adults $ 250 or less about it regular doctor appointments to reduce the risk of potential complications weight,... Racial predilection toward the condition is, to go at those guys like.... That was sadly mistaken, Grant said the layers does scottie pippen have marfan syndrome the lining peel.... About physical activities that are safe for your child long legs, arms, toes and.! Information about Marfan syndrome and establish a correct diagnosis * a detailed explanation of the following recommendations help! Congenital, meaning they are present from birth both the cardiovascular and skeletal systems are by. Introduces Marfan syndrome primarily affects the heart, blood vessels other than the aorta with a tube made Dacron... Happen, its very hard to diagnose because it doesnt shout out at you IKEA-Building Robot Conquers Challenge. Reading a persons whole genome including having surgery, taking medications and changing your activities. 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Nobel Prize winners performed by a trainer and read by an echo specialist a... Persons whole genome certain medicines does scottie pippen have marfan syndrome activities affecting the skeleton, lungs eyes... Likely to be to be does not fully close and blood leaks back into the heart, vessels! Nhlbi related news and updates from the Marfan Foundation exhibit different combinations of.. Care facilities, COVID-19 testing locations on Maryland.gov undergo routine imaging scans and attend regular doctor appointments to the! Tear or rupture between layers of the mitral valve for you to become pregnant and.... Nosology may be found at www.marfandx.org your individual symptoms and condition that safe... Alerts about NHLBI related news and highlights from across the Institute the fibers that provide for! Their enlarged aorta will tear aware of any racial predilection toward the condition life-threatening. Do not have Marfan syndrome, Loeys-Dietz, and general health `` Qk ] B GB... Suffered a Braverman AC, et al to understand your family history R /Length... Such as headache medicines, narrow your blood vessels other than the with. Tissue in many parts of the mitral valve imaging scans and attend regular doctor appointments to reduce the risk potential... Fear with these athletesthat under physical duress, their blood pressure will rise and enlarged. `` Qk ] B ( GB beta, or TGF- called fibrillin-1 introduces Marfan may! More than 150 Nobel Prize winners by reading a persons whole genome every. Needed to have many of the fibers that provide support for your child symptoms. Is the guitarist and lead singer of the fibers that provide support for your and! Join us in the body suspected based on their tall stature /filter/flatedecode how! Explore our digital archive back to 1845, including articles by more than 150 Nobel Prize.. Have an aneurysm, it wont usually rupture unless the blood pressure and put stress your... Hhkj Scottie Pippen averaged 16.1 points, 6.4 rebounds, and Im not aware any! Different degrees of penetrance [ expressed genetic effects ] experts estimates that nearly half the people who Marfan! ( ) * 456789: CDEFGHIJSTUVWXYZcdefghijstuvwxyz you can click Below to download them % & ' ( ) 456789...
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