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The accumulation of such metabolites often triggers strong feedback signals that mitigate potential adverse effects on plant development 25

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If multiple blue nevi are present (particularly epithelioid blue nevi , a form of pigmented epithelioid melanocytoma ), the Carney complex of myxomas (mucocutaneous and cardiac), spotty pigmentation (lentigines as well as blue nevi), and endocrine neoplasia should be considered