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Explicit attention to year effects in ecological research serves to illuminate basic ecological principles, allowing for better understanding of contingencies in ecology. These dynamics also have strong implications for applied ecological research, offering new insights into ecological restoration as well as future climate change.We report on an 86-year-old woman with disfiguring skin lesions on her face, referred to us in spring 2017. Her medical history was clear except for an arterial hypertension and a bilateral hilar and peribronch

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