Dichotomous outcome for the emergence of dermatologic side effects (e.g. Prevalence of mucocutaneous manifestations in 666 patients with COVID19 in a field hospital in Spain: oral and palmoplantar findings. Here's what research shows. Riad A, Kassem I, Hockova B, Badrah M, Klugar M. Halitosis in COVID-19 patients. No abstract available. You have reached the maximum number of saved studies (100). Muscle aches (myalgia) 8.9%. Features of "COVID tongue" include tongue discoloration, enlargement, mouth ulcers, and more. Therefore, following the CDC's guidelines for what to do when you get sick from COVID-19such as getting rest, staying hydrated, and taking over-the-counter (OTC) medicationsmay be helpful. However, good oral hygiene and mouth care are essential to your overall health. Riad A, Kassem I, Issa J, Badrah M, Klugar M. Angular cheilitis of COVID-19 patients: A case-series and literature review. HHS Vulnerability Disclosure, Help As a result of irritated and inflamed tissue, a person may also experience red patches, known as erythematous lesions. To receive email updates about COVID-19, enter your email address: We take your privacy seriously. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Is a Headache a Common Symptom of COVID-19? Due to the small number of studies investigating COVID tongue, further studies investigating the link between COVID and tongue symptoms are necessary to draw firm conclusions. "If the reaction occurs 24 hours later, this is considered a delayed reaction, which may or may not be allergic in nature," said Dr. Kung. A person may experience a condition or disease of the tongue that presents similar symptoms to COVID tongue. Vaccine side effectswhile normalcan strike different parts of your body, from the arm where you got the shot to the tips of your fingers to your throbbing head. ulcers, vesicles, blisters, plaque, mouth odour, bleeding gum, burning gingiva, etc) following receiving the COVID-19 vaccine. However, if symptoms persist after recovery from COVID-19, it is best to consult a doctor. But, after reading about the vaccine, she learned that lip swelling could happeneven a few weeks after the vaccine. It didn't. Research on Spanish patients found COVID-19 may cause symptoms in the mouth and tongue. Glossitis could also appear due to conditions such as allergic reactions (e.g., to oral care products or food), mouth-related skin conditions, mouth injuries, hormones, or some vitamin deficiencies. All information these cookies collect is aggregated and therefore anonymous. Dr. Fernando agreed: "These symptoms aren't a slam dunk for a COVID-19 diagnosis.". The i2b2 patient registry platform at the University of Florida Health Center was used to generate a count of patients using the international classification of diseases (ICD)-10 diagnosis codes from October 2015 to June 2021. It was very uncomfortable; it felt as if they were being blown up like a balloon.". A case of COVID-19 pneumonia in a young male with full body rash as a presenting symptom. Gulick also says that reports of "furry tongues" could be from steroids such as dexamethasone that cause an immunosuppressed state, which can make a person susceptible to oral thrush. Lip swelling on its own, though, is relatively harmless, Dr. Kung said. Preliminary studies connecting COVID-19 to mouth problems have been mainly observational and focused on a small number of people. ShinglesHerpes ZosterInfection May Be Linked to the COVID-19 Vaccine, COVID-19 Vaccines for Kids 12 to 15: Your Biggest Fears Addressed by Experts, 3 Pregnant Health Care Workers Explain Why They Did or Didn't Get the COVID-19 Vaccine, This Woman's COVID-19 Vaccine Side Effect Led to a Breast Cancer Diagnosis, Don't Delay Your Mammogram After Getting the COVID-19 Vaccine, CDC, FDA Investigating PotentialBut 'Unlikely'Link Between Pfizer Booster and Stroke Risk, COVID-19 Vaccine SheddingWhy Vaccine Shedding Won't Happen. British J Dermatol. A condition known as geographic tongue may be present with a COVID-19 diagnosis, or the virus may trigger it. And for more useful information delivered straight to your inbox, sign up for our daily newsletter. No abstract available. Battaglia said that her lips "definitely hurt a littlethey felt very raw and itchy, mostly around the outer edge." Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, shopping, and lifestyle trends, with work appearing in Womens Health, Self, Prevention, Forbes, Daily Beast, and more. "Typically, reactions to the COVID-19 vaccine are mild or moderate," says the Mayo Clinic. The CDC, on its website, lists COVID symptoms as muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and diarrhea. Hills suggests that since there is evidence of the COVID-19 virus affecting the brain, it could also potentially injure or hijack the nerves that control the tongue. Anju Goel, MD, MPH, is a public health consultant and physician with more than 10 years of experience in the California public health system. Overview of COVID-19 vaccines. Keep reading to find out more about the possible connection between dental symptoms and COVID-19. Read on to find out what to look out for, and for more vaccine guidance, Do This Immediately After Getting Your Vaccine, Doctors Say. Author A Riad 1 Affiliation 1 By email, Brno, Czech Republic. A. Pawlowski is a TODAY health reporter focusing on health news and features. Read our. Dermatologie (Heidelb). By Jocelyn Solis-Moreira The test re-test reliability of the questionnaire will be tested by 30 volunteers (10 Czech, 10 Turkish, 10 German) to achieve at least a Cronbach's alpha of 0.70. For COVID-19 patients, 57% were females, 23% were African American, 56% whites, and 90% were adults. If you think you have COVID-19, whether or not you have any mouth-related symptoms, the best thing you can do is get tested. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. One study found that more than 20% of COVID patients had oral lesions of some kind. ( British Association of Dermatologists/John Wiley & Sons, Inc.), Courtesy British Journal of Dermatology/Wiley Online Library, Johnson & Johnson announces single-shot COVID-19 vaccine, Race to stop spread of highly-contagious Covid variant. Non-healthcare workers who received the COVID-19 vaccine recently. Infections, in general, can cause changes to the oral cavity. "Most reactions happen within the first few days. Matsuda S, et al. This could lead to indirect side effects. Joint pain (arthralgia) 5.3% . The side effect can be "scary," Dr. Kung said, because "it can be associated with anaphylaxis, a serious allergic reaction that can lead to shock or even death." 2021 Jan;34(1):e14735. As the pandemic has created stressful situations for most people, it wouldnt be a surprise to see an increase in this condition. But he wouldn't consider COVID tongue as a diagnostic tool for the disease at this time just because it seems to occur in a very small proportion of people, he noted. Al-Samkari H, et al. MNT is the registered trade mark of Healthline Media. Oral Dis. And if [doctors are] doing a lot of virtual screenings, then we never see the patient beyond the television monitor, so you cant really see the mouth either.. Last medically reviewed on March 28, 2022. official website and that any information you provide is encrypted While the CDC and other health organizations do not list COVID tongue among COVID-19 symptoms, some doctors reported instances of it. At the very least, if there was an acute inflammatory response, Gulick says that good oral health wont make the problem any worse. She holds a Masters in Psychology concentrating on Behavioral Neuroscience. Other yet-to-be confirmed sensations include fizzing, or a tingling feeling reported by some COVID-19 patients. Fever or chills. 2020;156(10):1134-1136. doi:10.1001/jamadermatol.2020.2550, Ansari R, Gheitani M, Heidari F, Heidari F. Oral cavity lesions as a manifestation of the novel virus (COVID19). COVID-19 symptoms in the mouth, teeth, and gums SARS-CoV-2, the virus that causes COVID-19, gets into your bloodstream via a receptor called ACE2. "I've seen a few," Rajeev Fernando, MD, an infectious disease physician working in field hospitals nationwide, told Health. Staying hydrated could also help ease side effects sooner, Sachin Nagrani, MD, the medical director of healthcare company Heal, told Bustle. Read our, ClinicalTrials.gov Identifier: NCT04706156, Oral Side Effects of COVID-19 Vaccine: A Multicenter Cross-sectional Study, 18 Years and older (Adult, Older Adult), Department of Public Health, Faculty of Medicine, Masaryk University, Contact: Abanoub Riad, DDS +420 549 49 6572, Contact: Michal Koscik, PhD +420 549 49 1324, Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht's University, Kiel, Schleswig-Holstein, Germany, 241 05, Department of Maxillofacial Surgery, F. D. Roosevelt University Hospital, Bansk Bystrica, Banska Bystrica, Slovakia, 975 17. But this doesnt mean a person may not experience tooth-related symptoms or effects during or after COVID-19. Dental care in times of the COVID-19 pandemic: A review. Last medically reviewed on December 15, 2022, Researchers worldwide are working to develop treatments for COVID-19, the disease that the novel coronavirus causes. COVID-19 and coagulation: Bleeding and thrombotic manifestations of SARS-CoV-2 infection. Battaglia initially thought she had had a reaction to cauliflower wings with cayenne pepper she had the day before. Int J Infect Dis. People who have poor oral health also tend to have more ACE2 receptors, further linking the connection between COVID-19 and oral health. Jemma Falloon, 41, from Ellesmere Port, Cheshire, suspected she had Long COVID, when she started feeling unwell weeks after having the coronavirus in October 2020. Is exercise more effective than medication for depression and anxiety? Some common reactions are shared here: Pain, redness or swelling where the shot was given Fever Fatigue Headache Muscle pain or joint pain Chills" Learn about the latest treatment, Tongue bumps are common, and there are many possible causes, including injuries, allergies, and infections. Epub 2020 Nov 29. Dentists can take special precautions to protect against the spread of COVID-19. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. "I'm not big on spicy foods, so I figured it was a sensitivity to the spice.". While the evidence is limited, there has been some research linking oral problems to the COVID-19 virus that first appeared in Wuhan, China. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. The questionnaire will be composed of multiple-choice items divided into four main categories; a) demographic data including gender, age, location of practice, profession, and experience, b) medical anamnesis including medical comorbidities, medications, and recent oral symptoms, c) COVID-19 related anamnesis including vaccination date, previous infection, and exposure to infected cases, and d) vaccine side effects including inflammatory symptoms, cutaneous symptoms, and oral symptoms. To evaluate whether the prevalence of glossodynia increased among patients affected by COVID-19 compared to other hospital populations. The letter even includes photos so that you can see close-ups of (a) a swollen COVID tongue and (b) a patchy, bumpy COVID tongue. Can diet help improve depression symptoms? One more reason to select the healthcare workers among different groups of the population, their higher awareness about the possible vaccine-related oral side-effects so that more accurate and reliable results can be obtained. If you were sick for a long time and neglected your dental health, its possible this could lead to tooth decay and tooth loss. Diabetic neuropathy masquerading as glossodynia. Fever (81.2 percent), cough (58.5 percent), and fatigue (38.5 percent) were the most common symptoms. But currently, theres no known direct link between COVID-19 and teeth falling out. A self-administered questionnaire will be developed, and its content validity will be tested using a panel of experts. Hassan K, et al. "I recall trying to drink out of my coffee mug that morning, and coffee kept dribbling down the side as my lips weren't able to form a full seal. doi: 10.1111/dth.14479. (2021). "Lip swelling, or angioedema, can occur with almost any vaccine," Amiinah Kung, MD, an allergist at Northwestern Medicine Central DuPage Hospital, told Health. Oral side effects of COVID-19 vaccine. Some people may develop dry mouth even before any other Covid-19 symptoms. When it burst upon the scene, as I like to say figuratively, we opened up our medical textbooks to COVID and there were only blank pages, Dr. William Schaffner, professor of infectious diseases at Vanderbilt University School of Medicine in Nashville, Tennessee, told TODAY. Side effects generally go away in a few days. 2005-2023 Healthline Media a Red Ventures Company. Discolored or yellow teeth arent a directly known occurrence from COVID-19. Is 'fizzing,' tingling or burning among coronavirus symptoms? After all, the mouth is one of the main entryways into the body for the SARS-CoV-2 virusthe virus that causes COVID-19according to an April 2021 Journal of Clinical and Pharmaceutical Research review. (2020). 2020;9(3):100493. doi:10.1016/j.imr.2020.100493Get, Dos Santos JA, Normando AGC, da Silva RLC, et al. Do you or your child need to get a booster? The American Dental Association said it has been tracking developments of tongue and mouth issues experienced by COVID-19 patients since early on in the pandemic. JAMA Dermatol. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. It's just uncomfortable. You shouldnt ignore them. Information provided by (Responsible Party): This study is a multicenter cross-sectional survey-based study conducted in four European countries (Czech Republic, Germany, Slovak Republic, and Turkey). Battaglia said her lips were "completely back to normal" after a few weeks. You can learn more about how we ensure our content is accurate and current by reading our. Seeing increasing numbers of Covid tongues and strange mouth ulcers . Various factors can cause COVID tongue, which may be the reason there is limited information regarding the condition. Your mouth, tongue, and gums. Dichotomous outcome for the emergence of oral side effects (e.g. Until there's more data, it's too early to add "COVID tongue" to any official symptom lists, but dentists, oral surgeons and other doctors looking inside people's mouths should be aware it might be one of the early signs of infection, he noted. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. This is kind of in tune with all of the things about COVID. If you have a strange symptom or even just headache and fatigue stay at home ! Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, shopping, and lifestyle trends, with work appearing in Womens Health, Self, Prevention, Forbes, Daily Beast, and more. There arent reports of teeth falling out as a side effect of COVID-19. Adverse events, including severe allergic reactions, after COVID-19 vaccination are rare but can happen.For this reason, everyone who receives a COVID-19 vaccine is monitored by their vaccination provider for at least 15 minutes. Can COVID-19 or a COVID-19 vaccine cause a swollen lymph node in the neck or under the jaw? ", It's important to point out that what's been dubbed "COVID tongue" isn't necessarily unique to COVID-19. You could experience jaw or tooth pain related to clenching your jaw due to stress over COVID-19. In an interview with USA Today, Spector said that one in five people will present with unofficial symptoms such as discolored or swollen tongues. Side effects after getting a COVID-19 vaccine can vary from person to person. Additionally, ulcers may occur on the lips and inside of the cheeks. There are no significant reports of mouth-related symptoms as part of a persons COVID-19 disease presentation either. "I was skeptical since it had been about three weeks since the second dose," Battaglia said. Clinical significance: Federal government websites often end in .gov or .mil. And none of those with any obvious signs of dental disease were hospitalized. From there, the virus gets into your cells, replicates, and makes you sick. But some studies on how and why COVID-19 and dental health are related are starting to emerge. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. J Am Dent Assoc. "There were even little bumps along the outline of my lip that seemed to present as a reaction to the heat of the pepper." Schaffner hasnt seen cases of COVID tongue, but he has heard it discussed. However, there are several mechanisms that could explain the link. 2021;184(1):184-185. doi:10.1111/bjd.19564, Jimenez-Cauhe J, Ortega-Quijano D, de Perosanz-Lobo D, et al. J Med Virol. After all, the loss of smell and taste seemed to be a strange symptom at first, but is now considered one of the common manifestations and is part of the list. F.D. The study concluded that these factors could have contributed to the development of COVID tongue since they can both affect the immune system. The oral cavity deserves specific examination under appropriate circumstances to avoid contagion risk, the authors wrote. 2021 Mar;41(2):282-285. doi: 10.1111/scd.12547. Brain and Nerve Effects Hills suggests that since there is evidence of the COVID-19 virus affecting the brain, it could also potentially injure or hijack the nerves that control the tongue. COVID-19 is predominantly a respiratory disease. Despite her intense experience, Battaglia said she doesn't want other people to be nervous about getting the vaccine. Inhaling Hydrogen Peroxide Will Hurt Your Lungs and Wont Prevent COVID-19. As of September 2022, there have not been any treatments identified that may alleviate COVID tongue specifically. The https:// ensures that you are connecting to the You will be subject to the destination website's privacy policy when you follow the link. 2022 Apr;28 Suppl 1(Suppl 1):940-942. doi: 10.1111/odi.13516. It was common for patients also to say they felt a burning sensation in their mouth and a loss of taste. Spec Care Dentist. According to the CDC, the most common symptoms of COVID-19 include: Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or. But other symptoms people with the virus have experienced include rashes, headaches, and digestive issues like nausea and diarrhea. Gulick says that a COVID-19 infection in the salivary gland could decrease secretion in the mouth and cause dry mouth. After the start of the COVID-19 pandemic, reports trickled in about unusual symptoms of COVID-19. There were COVID toes, unusual skin rashes, and loss of taste and smell. Having a dry mouth, in turn, could prompt other oral issues that have also been linked to COVID-19, such as teeth decay and teeth that have fallen out. Riad A, Gad A, Hockova B, Klugar M. Oral candidiasis in non-severe COVID-19 patients: call for antibiotic stewardship. Of the patients with both glossodynia and COVID-19, 60% were females, 32% were African American, 64% were white, and 100% were adults. As many as 40 percent of people with Covid-19 may experience symptoms of dry mouth or xerostomia (as it's known medically) during or after the illness, according to a study in the Journal of Dental Research. Dr. Fernando said it's unlikely that you would just develop COVID tongue. While antibiotics dont treat viruses like SARS-CoV-2, they do treat bacterial infections (like pneumonia) that can occur as a side effect of COVID-19. In a case study describing a patient who reported a full-body rash as part of their symptoms, the authors stated that only 2 out of 1,099 people with COVID-19 reported any kind of rash as part of their symptoms. Why Should I Register and Submit Results? Researchers are reporting tongue and mouth issues that appear in COVID-19 patients. Dr. Fernando explained it this way: Your cells contain enzymes called ACE receptors, which SARS-CoV-2 latches onto. Daniel More, MD, FAAAAI, FACAAI, FACP,is a board-certified allergist and clinical immunologist at Allergy Partners of the Central California Coast. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. And, guess where there are lots of cells with ACE2 receptors? 2020. doi:10.1111/odi.13465, Pang W, Zhang D, Zhang J, et al. Will COVID tongue be placed in a similar category? J Periodontol. The questionnaire will be available in five languages; Czech, English, German, Slovak and Turkish. All rights reserved. It may not be that the mouth is vulnerable to the new coronavirus, but that COVID-19 may set up an immune circumstance such that other viruses such as herpes labialis the herpes virus above the waist, or herpes simplex virus type 1, which causes an infection of the lips, mouth, or gums may perhaps activate, Schaffner said. These may include: It is currently unclear if COVID tongue is a symptom of COVID-19 itself or if it manifests as a result of disease progression. The American Academy of Otolaryngology-Head and Neck Surgery could not immediately comment about whether cases of mouth and tongue issues have been reported by COVID-19 patients. Purpose: and transmitted securely. The site is secure. We avoid using tertiary references. It's too early to tell if there are mouth and tongue problems related to COVID-19 infections. Introduction The most common signs and symptoms of SARS-CoV-2 infection include headache, sore throat, hyposmia, hypogeusia, diarrhoea, dyspnoea and pneumonia. "Any person can have an idiosyncratic reaction to the vaccine," Dr. Watkins said. doi: 10.1111/dth.14735. The collected data will not be accessed or used by other institutions or for any other purposes. Some people can develop oral infections, such as oral thrush, while they have COVID-19. Thank you, {{form.email}}, for signing up. A 2020 study evaluated the symptoms of 666 patients with COVID-19. Overall, 11.7% of people reported symptoms in the oral cavity. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. COVID tongue is often accompanied by a change to the tongue's sensation, as well as muscle pain while chewing due to persistent ulcers. Our website services, content, and products are for informational purposes only. Candida infections of the mouth, throat, and esophagus. Oral Dis. New loss of taste . Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. And, if it happens within four hours of getting the vaccine, you may need emergency treatmentthat means you should take a trip to the ER. Other more common symptoms of COVID-19 include: COVID tongue can present as swelling, redness, ulcers, and white patches. Food and Drug Administration. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. The relationship between COVID-19 and the dental damage stage determined by radiological examination. Riad A, Kassem I, Badrah M, Klugar M. The manifestation of oral mucositis in COVID-19 patients: A case-series. "It could be a minor allergic reaction," infectious disease expert Amesh A. Adalja, MD, senior scholar at the Johns Hopkins Center for Health Security, told Health. And for more insight into vaccine reactions, This Is Why Half of People Have Stronger Vaccine Side Effects, CDC Says. COVID-19 increases inflammation, which may indirectly activate other viral infections such as the herpes simplex virus, which can cause mouth ulcers. What is the latest research on the form of cancer Jimmy Carter has? And the Mayo Clinic says dehydration can worsen if you're experiencing both excessive sweating from a fever and diarrhea or vomiting from nausea. The information in this story is accurate as of press time. 2022 Apr;28 Suppl 1(Suppl 1):999-1000. doi: 10.1111/odi.13675. Dichotomous outcome for the emergence of typical side effects (e.g. Bookshelf However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. The authors declared no conflicts of interest. However, because COVID tongue symptoms include swelling and inflammation, it's possible that any remedies that help with tongue swelling can help with an instance of COVID tongue. View this study on Beta.ClinicalTrials.gov, Genetic and Rare Diseases Information Center, OculocerebralSyndromeWithHypopigmentation, Effects of the Influenza Vaccine on the Oral Cavity. As with any illness, you may not care for yourself as you normally would. This receptor is like the front door that allows the virus into the cells. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Tongue features of patients with coronavirus disease 2019: a retrospective cross-sectional study. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. More information is available, Children and teens ages 6 months17 years, Recommendations for Fully Vaccinated People, National Center for Immunization and Respiratory Diseases (NCIRD), Possibility of COVID-19 Illness after Vaccination, Investigating Long-Term Effects of Myocarditis, How and Why CDC Measures Vaccine Effectiveness, Monitoring COVID-19 Cases, Hospitalizations, and Deaths by Vaccination Status, Monitoring COVID-19 Vaccine Effectiveness, U.S. Department of Health & Human Services. Talk with your doctor and family members or friends about deciding to join a study. A long lasting salty taste can signal an underlying illness, infection, or hormone imbalance. Talk to your doctor about taking over-the-counter (OTC) medicine, such as ibuprofen, acetaminophen, aspirin (only for people ages 18 years or older), or antihistamines. It's not clear whether "COVID tongue" and other mouth symptoms are really indicators of infection with the virus. Epub 2020 Nov 8. This article discusses COVID tongue and its symptoms, causes, treatments, and when to seek medical help. For this reason, everyone who receives a COVID-19 vaccine is monitored by their vaccination provider for at least 15 minutes. Its too early to tell if there are mouth and tongue problems related to COVID-19 infections. Health's content is for informational and educational purposes only. Furthermore, beyond other viruses, there are other causes of tongue swelling (known as glossitis, per MedlinePlus). pic.twitter.com/V04CiZNilK. "There are a lot of ACE receptors in the tongue, so the virus concentrates very heavily in this region," said Dr. Fernando. "Inadequate hydration or, even worse, dehydration, can exacerbate the side effects of the vaccine," he explained. According to the Centers for Disease Control and Prevention (CDC), two common side effects of the COVID vaccine are fever and. Some of the COVID vaccine side effects can cause dehydration. government site. "Many physicians focus on the heart, lungs, and abdomen and, in the age of COVID-19, they pass on examining the mouth even more because it can increase their risk of getting infected," said Dr. Russo. Centers for Disease Control and Prevention. Healthline Media does not provide medical advice, diagnosis, or treatment. Moderna's COVID-19 Vaccine May Cause Side Effects in People With Facial Fillers, Says FDAHere's What to Know.

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