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In each one of the four instances, the patient had systemic disorders ahead of the start of APD, three had concomitant renal and thyroid problems and something had hepatocirrhosis secondary to chronic hepatitis C. the outcome regarding the present research showed that APD happened after the transient worsening for the original systemic condition. Also, it had been uncovered that dermatosis signs had been relieved upon remission associated with the initial systemic disorder, without cert