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The reason these drugs are so expensive is mainly due to the way they are made

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After the papules resolve, post-inflammatory hyperpigmentation emerges (234, 235)

If temporal arteritis is not the cause it will put your mind at rest and you will also have the opportunity to discuss your other vascular issues (the prominent veins in your hands and feet), which could be caused by a number of things (inflammatory condition, vasculitis, the aging process etc.)