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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Nelson syndrome is a rare cause of generalized mucocutaneous hyperpigmentation&#46; Its clinical manifestations are due to excessive secretion of adrenocorticotropic hormone from a pituitary adenoma&#44; which develops after bilateral therapeutic adrenalectomy&#46; As this operation has fallen into disuse&#44; Nelson syndrome is now extremely rare and difficult to recognize&#46; We present a very severe case of generalized hyperpigmentation due to Nelson syndrome in a 37-year-old woman&#46;</p>"
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