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Additionally, the tear ferning test, a diagnostic process that assesses tear quality through the examination of tear crystalline morphology, in patients with DED, tear ferning test grades up, and tears fern-like crystals are reduced or fragmented

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The possible types or causes of skin ulcerations include: Ulcers caused by poor blood circulation (Venous stasis ulceration) Ulcers due to reduced blood supply (Arterial ulceration) Ulcers caused by injury (Traumatic ulcerations) Bedsores (Decubitus ulceration) Skin cancers High blood pressure-related ulcers (Hypertensive ulceration) Burns Skin diseases caused by infections (Cutaneous infectious diseases) Ulcers due to certain chemicals or medications (Chemotoxic or drug-induced ulceration) Side effects of certain treatments Side effects related to other health conditions (for example, Kaposis sarcoma) These ulcers must be carefully examined as some can lead to severe health problems like gas gangrene and necrotizing fasciitis, which can endanger a persons life or limb

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