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 C17 Skin and Connective Tissue Diseases D017437 +
  C17.800 Skin Diseases D012871 +
   C17.800.621 Pigmentation Disorders D010859 +
    C17.800.621.430 Hyperpigmentation D017495 +
     C17.800.621.430.530 Melanosis D008548 +
      C17.800.621.430.530.100 Acanthosis Nigricans D000052