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Patient support There are several organisations that patients can be signposted to: Acknowledgements The authors would like to thank Shiva T Radhakrishnan, clinical research fellow (IBD), Imperial College Healthcare NHS Trust, for his support and guidance in writing this article

Separate KPV is sometimes used for short inflammatory events such as an acne flare or post-procedure irritation, then stopped when the event resolves

Lifestyle factors like sun exposure and lack of sleep can make them worse, but are not the main cause

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