如何治疗大腿内侧的皮疹

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共同创作者是 Zora Degrandpre, ND

参考

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许多人都饱受大腿内侧或腹股沟处的皮疹所困扰。皮疹经常发生在潮湿和容易摩擦的皮肤部位，大腿内侧和腹股沟正好具备了这样的条件。 [1] 别担心，这些皮疹很容易在家治好。本文会介绍几个简单的治疗方法，还会深入探讨这些部位起皮疹的原因。获取普通科或皮肤科医生的确切诊断后，就可以采取具体的治疗措施，彻底根治皮疹，并防止它复发。

须知事项

  • 让起皮疹的皮肤部位透气，小心地清洗干净，然后轻轻拍干。
  • 用燕麦泡澡，使用氢化可的松乳膏和（或）服用抗组胺剂，均有助于缓解皮肤瘙痒。
  • 皮肤擦伤、剃刀造成的刺激和敏感、热痱子、股癣和接触性皮炎，都有可能造成大腿内侧或腹股沟处起皮疹。
  • 普通科或皮肤科医生可以做出确切的诊断，帮助你制定具体的治疗方案。
方法 1
方法 1 的 5:

家庭治疗

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    尽量穿宽松、舒适的纯棉长裤或短裤，帮助吸收汗水，让皮肤更加透气。宽松的衣服不会一直摩擦皮肤，避免进一步刺激皮疹。 [2]
    • 待在卧室时可以脱掉下半身的衣物，让大腿内侧和腹股沟处有机会透气。
    • 潮湿是大腿内侧起皮疹的主要原因，所以一定要让患处透气。 [3]
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    在浴缸里装温水， 倒入约240克胶状燕麦 。浸泡身体约15分钟，然后擦干皮肤。 [4]
    • 你也可以将胶状燕麦装进一个干净的连裤袜里，然后打个结。放进温水中浸泡一会儿，拧干水后敷在患处上。
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    将一块干净的布浸在冷水中，然后拧干多余水分。 [5] 把它敷在皮疹上，帮助缓解不适。 [6]
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    购买浓度1%的氢化可的松乳膏，直接抹在皮疹上，有助于缓解不适。 [7] 如果皮肤瘙痒影响到你的睡眠，询问医生是否可以在睡前服用苯海拉明之类的抗组胺剂。 [8]
    • 服用口服抗组胺剂时，一定要遵循标签上指示的剂量。
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方法 2
方法 2 的 5:

原因和具体治疗方案

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    皮肤擦伤这可能发生在皮肤反复摩擦紧身裤等东西，或是皮肤长时间互相摩擦后，比如穿着短裤走了很久。 你可能在走路或运动一会儿后，发现大腿内侧皮肤擦伤了。 [9]
    • 症状： 皮肤发红、起小疙瘩、发热、瘙痒、刺痛、有灼热感和（或）一触即痛。
    • 治疗方法： 用温和的肥皂和水把患处洗干净，轻轻拍干后涂抹芦荟胶和凡士林，以缓解刺痛。 [10]
  2. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/9\/9c\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-6-Version-2.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-6-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/9\/9c\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-6-Version-2.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-6-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    剃刀造成的刺激和敏感不用剃毛膏、使用钝刀片或是剃得太快，都会导致皮肤发红、刺痛并起皮疹，几天后才会痊愈。 [11]
    • 症状： 皮肤疼痛、刺痛、肿胀、一触即痛和（或）瘙痒。
    • 治疗方法： 在患处涂抹少许芦荟胶，缓解皮肤刺激。泡燕麦澡和使用氢化可的松乳膏等非处方治疗方法，也有助于缓解些许不适。
  3. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/a\/a1\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-7-Version-2.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-7-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/a1\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-7-Version-2.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-7-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    热痱子皮肤长时间被汗水浸湿就会起热痱子，经常发生在容易跟衣服摩擦的部位，比如大腿内侧。 [12] 如果你经常出汗，很可能是热痱子引发了大腿内侧的皮疹。
    • 症状： 皮肤轻微发红、起小疙瘩、瘙痒和（或）轻微肿胀。 [13]
    • 治疗方法 ： 将泡过冷水的毛巾敷在皮疹上，或者用冷水淋浴或泡澡。尽快让皮肤冷却下来，这样热痱子才会更快好起来。 [14]
  4. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/8\/88\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-8-Version-2.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-8-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/8\/88\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-8-Version-2.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-8-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    股癣这种常见的真菌感染常发生在大腿内侧、腹股沟和臀部，接触到患者本人、他们的衣服或毛巾，都很容易感染上。 虽然任何人都有可能感染股癣，不过它最常发生在十几岁的男孩和年轻的成年男子身上。 [15]
    • 症状： 皮肤脱屑、脱皮、起小疙瘩、小水疱、有灼热感和（或）瘙痒。
    • 治疗方法： 使用非处方抗真菌药膏，比如克霉唑、托萘酯、特比萘芬或咪康唑。如果股癣很严重，向医生咨询处方级抗真菌药膏。
  5. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/8\/8c\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-9-Version-2.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-9-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/8\/8c\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-9-Version-2.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-9-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    接触性皮炎每次接触到让你过敏的物质，比如肥皂或洗涤剂中的某种成分，都会引发接触性皮炎。 毒葛经常会引发接触性皮炎，不过这可能不是你大腿内侧起皮疹的原因。 [16]
    • 症状： 皮肤发红、刺痛、干燥、皲裂和（或）起水疱。 [17]
    • 治疗方法： 每天在患处涂抹1%氢化可的松乳膏或炉甘石液数次。冷敷和泡燕麦澡或许也能稍微舒缓患处。 [18]
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    [19] 刚开始只有一块较大的粉红色或红色斑块，之后又出现许多较小的斑块。
    • 症状： 有些患者可能会觉得不适，数天后才发现皮肤出现了一个粉红色大斑块，接着周围又冒出比较小的粉红色斑块，最后所有斑块都会消失。 [20]
    • 治疗方法： 跟其它类型的皮疹不一样，玫瑰糠疹会自行消失，但是需要好几个月的时间。如果患处特别痒，可以涂抹氢化可的松乳膏或服用抗组胺剂。 [21]
  7. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/1\/1c\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-11-Version-2.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-11-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/1\/1c\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-11-Version-2.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-11-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    [22] 虽然医学专家不完全清楚它发生的原因，但怀疑是毛囊堵塞和爆裂造成的。 [23]
    • 症状： 皮肤深处长了一触即痛的肿块，疼痛并且会流脓的大脓疮，和（或）看起来像黑头的疙瘩。 [24]
    • 治疗方法： 向医生咨询使用处方级药物，比如克林霉素、氨苯砜或间苯二酚。 [25]
  8. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/6\/66\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-12.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-12.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/66\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-12.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-12.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    1型和2型单纯疱疹病毒都有可能引发生殖器疱疹，尤其2型单纯疱疹病毒是最常见的原因。 [26]
    • 症状： 腹股沟处起水疱或疮。不过，有些患者可能完全没有症状。 [27]
    • 治疗方法： 生殖器疱疹没有已知的治愈方法，只能治疗症状。跟医生商量服用阿昔洛韦、伐昔洛韦等抗病毒药物，让疮口更快愈合，并防止它们频繁复发。 [28]
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    在初期，腹股沟处会出现不痛的疮，称为硬性下疳。到了第2期，也就是下疳出现的2-8周后，腹股沟处和身体其它部位可能出现红棕色的皮疹。 [29]
    • 症状： 红棕色皮疹、发烧、喉咙痛、头痛和（或）疲劳。
    • 治疗方法： 在梅毒发展到第3和第4期之前，尽快跟医生商量展开抗生素治疗。 [30]
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方法 3
方法 3 的 5:

预防大腿内侧的皮疹

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    出门或锻炼前，先在大腿最容易摩擦的地方涂抹少量防磨膏或凡士林。提前润滑皮肤可以避免大腿皮肤随着你的动作互相摩擦。 [31]
    • 穿宽松、舒适的长裤和短裤，也能有效防止大腿内侧皮肤摩擦。
  2. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/8\/87\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-15.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-15.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/8\/87\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-15.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-15.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    准备一把锋利、干净的剃刀，在私处涂抹少量剃毛膏。顺着毛发生长的方向一点一点地剃，动作要温柔，不要一下子剃一大块面积的毛。经常冲洗并更换刀片，剃完毛后用冷水彻底清洗干净。 [32]
    • 从长远来看，良好的剃毛习惯有助于预防剃刀造成的皮肤刺激和敏感。
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    穿宽松、舒适的棉质衣服，更换轻便、透气的床上用品，以减少身体出汗。一整天多喝水，用冷水淋浴或泡澡。 [33]
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    使用抗菌肥皂和抗真菌粉来 预防股癣 。 每次洗澡时，都要用抗菌沐浴乳清洁腹股沟处。每天都在腹股沟处撒一些抗真菌粉或滑石粉，吸收水分，保持皮肤干爽。 [34]
    • 一定要穿舒适、透气的裤子和内裤，好让腹股沟部位透气。
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    购买你喜欢的润肤霜，一整天不时涂抹在大腿内侧。 [35] 这些产品会在皮肤表面形成一道屏障，防止皮炎发作。 [36]
    • 也要检查肥皂和衣服洗涤剂的成分。确保没有可能引发接触性皮炎的刺激性物质。
  6. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/e\/e3\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-19.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-19.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/e\/e3\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-19.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-19.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    亲热之前，确保你或伴侣有戴避孕套。双方也要坦白交代自己的性生活和生殖健康状况，并达成共识。 [37]
    • 戴避孕套绝对能降低感染风险，但是无法彻底预防性传播疾病。比如说，生殖器疱疹可以通过皮肤接触传播。 [38]
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方法 4
方法 4 的 5:

什么时候应该去看医生？

PDF download 下载PDF文件
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    医生会检查你的皮疹，询问你出现的症状。 [39] 有时候，他们可能会进行皮疹评估，确认问题的根源。 [40]
    • 皮疹评估包括皮肤贴布测试、血液检测和（或）活组织切片检查，以确认影响你皮肤的根本原因。
    • 如果皮疹恶化，立即去看普通科或皮肤科医生。留意身体是否突然出现更严重的症状，比如喉咙痛、关节疼痛或发烧高于38摄氏度。 [41] 另外，注意皮疹附近是否出现一触即痛的斑点或红色条纹。这可能是感染迹象。 [42]
方法 5
方法 5 的 5:

重要信息

PDF download 下载PDF文件
  1. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/a\/ae\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-21.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-21.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/ae\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-21.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-21.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    虽然皮疹发作起来很恼人，但是泡燕麦澡、服用抗组胺剂和使用氢化可的松乳膏，就能舒缓皮肤。 [43] 你也可以用温和的肥皂和温水清洗患处，拍干皮肤，尽量给它机会透气。 [44]
  2. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/2\/28\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-22.jpg\/v4-460px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-22.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/2\/28\/Get-Rid-of-a-Rash-Between-Your-Legs-Step-22.jpg\/v4-728px-Get-Rid-of-a-Rash-Between-Your-Legs-Step-22.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    你可能很害怕或不好意思跟医生讨论大腿内侧的皮疹，但是这并没有什么好羞愧的。这类皮疹十分常见，医生不会觉得有多恶心或奇怪。尽快约见普通科或皮肤科医生，就能尽早找到长期的缓解方法。
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小提示

  • 每次洗澡时，用温和的肥皂和温水清洗皮肤，然后轻轻擦干皮肤。小心地用温和的肥皂清洗患处，不要用力擦拭。冲洗干净后，用干净的毛巾轻轻拍干，不要粗鲁地揉擦。 [45]
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警告

  • 不要在没有医护人员的帮助下，擅自诊断和治疗大腿内侧的皮疹。不同的皮肤问题需要的治疗方案也不一样。比如，抗真菌产品可以治疗股癣，但是不能治疗玫瑰糠疹。 [46]
  • 如果皮疹很痛，发作和扩散的速度很快，遍布全身皮肤，并且在2天内没有好转，一定要立即去看医生。 [47]
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参考

  1. ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abs2438
  2. ↑ https://my.clevelandclinic.org/health/diseases/22440-heat-rashprickly-heat#management-and-treatment
  3. ↑ https://medlineplus.gov/ency/article/003220.htm
  4. ↑ https://dermnetnz.org/topics/oatmeal
  5. ↑ https://www.aad.org/public/diseases/eczema/childhood/itch-relief/home-remedies
  6. ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4967
  7. ↑ https://medlineplus.gov/ency/article/003220.htm
  8. ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3252
  9. ↑ https://my.clevelandclinic.org/health/diseases/23517-chafing#symptoms-and-causes
  1. ↑ https://my.clevelandclinic.org/health/diseases/23517-chafing#management-and-treatment
  2. ↑ https://my.clevelandclinic.org/health/diseases/23583-razor-burn
  3. ↑ https://www.mayoclinic.org/diseases-conditions/heat-rash/symptoms-causes/syc-20373276
  4. ↑ https://www.nhs.uk/conditions/heat-rash-prickly-heat/
  5. ↑ https://www.mayoclinic.org/diseases-conditions/heat-rash/diagnosis-treatment/drc-20373282
  6. ↑ https://my.clevelandclinic.org/health/diseases/22141-jock-itch-tinea-cruris#symptoms-and-causes
  7. ↑ https://www.mayoclinic.org/diseases-conditions/contact-dermatitis/symptoms-causes/syc-20352742
  8. ↑ https://www.nhs.uk/conditions/contact-dermatitis/symptoms/
  9. ↑ https://www.mayoclinic.org/diseases-conditions/contact-dermatitis/diagnosis-treatment/drc-20352748
  10. ↑ https://www.aad.org/public/diseases/a-z/pityriasis-rosea-causes
  11. ↑ https://www.aad.org/public/diseases/a-z/pityriasis-rosea-symptoms
  12. ↑ https://www.aad.org/public/diseases/a-z/pityriasis-rosea-treatment
  13. ↑ https://www.aad.org/public/diseases/a-z/hidradenitis-suppurativa-overview
  14. ↑ https://www.aad.org/public/diseases/a-z/hidradenitis-suppurativa-causes
  15. ↑ https://www.aad.org/public/diseases/a-z/hidradenitis-suppurativa-symptoms
  16. ↑ https://www.aad.org/public/diseases/a-z/hidradenitis-suppurativa-treatment
  17. ↑ https://www.acog.org/womens-health/faqs/genital-herpes
  18. ↑ https://www.cdc.gov/std/Herpes/STDFact-Herpes.htm
  19. ↑ https://www.mayoclinic.org/diseases-conditions/genital-herpes/diagnosis-treatment/drc-20356167
  20. ↑ https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=tm6404
  21. ↑ https://www.cdc.gov/std/syphilis/stdfact-syphilis.htm
  22. ↑ https://my.clevelandclinic.org/health/diseases/23517-chafing#prevention
  23. ↑ https://my.clevelandclinic.org/health/diseases/23583-razor-burn#prevention
  24. ↑ https://www.nhs.uk/conditions/heat-rash-prickly-heat/
  25. ↑ https://my.clevelandclinic.org/health/diseases/22141-jock-itch-tinea-cruris#prevention
  26. ↑ https://www.nhs.uk/conditions/contact-dermatitis/
  27. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908267/
  28. ↑ https://www.cdc.gov/std/prevention/lowdown/
  29. ↑ https://www.cdc.gov/std/herpes/stdfact-herpes.htm
  30. ↑ https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/rash
  31. ↑ https://medlineplus.gov/lab-tests/rash-evaluation/
  32. ↑ https://www.eehealth.org/blog/2019/02/rashes/
  33. ↑ https://medlineplus.gov/ency/article/003220.htm
  34. ↑ https://www.michigan.gov/-/media/Project/Websites/flintwater/documents/2016/Dos_and_Donts_of_Rashes_Dr_Barkey.pdf?rev=c0c862215cc04642ad1fcfdcf377c6f8
  35. ↑ https://medlineplus.gov/ency/article/003220.htm
  36. ↑ https://medlineplus.gov/ency/article/003220.htm
  37. ↑ https://www.aad.org/public/diseases/a-z/pityriasis-rosea-self-care
  38. ↑ https://www.eehealth.org/blog/2019/02/rashes/

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