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Discussion VL is believed to occur as a result of solar damage to the vascular adventitia and dermal elastic fibers.[3, 4] The preponderance of occurrence in sun-exposed areas including the face, neck, helix of the ears, and lips in elderly patients substantiates this explanation.[4] In line with previous findings, the mean age of patients was 61.7 years, and the lower lip, which is prone to sun damage, was involved in 85.7% (12 of 14) of patients in the present study.[2, 20, 21] To our knowledge, this is the first study with an in-depth analysis of the dermoscopic features of VL

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The Animal care and experimental procedures were approved by the Bio-Ethical Committee of the Italian Ministry of Health (#122/2015-PR)

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