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However, because their appearance can overlap with more serious lesions, a dermatologist may recommend a biopsy or dermoscopic evaluation if the spot changes shape, grows, or develops irregular borders
10.3892/mmr.2018.8475 118 ZhaoX.WangM.WenZ.LuZ.CuiL.FuC.et al (2021)
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Together they cover both acute inflammation from training and deeper cellular stress