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PAM is a common entity, with one study of Caucasians displaying PAM in one-third of patients.[11] PAM typically presents as a unilateral, pigmented, flat, non-cystic lesion on the conjunctiva, often with pigment stippling extending beyond the main concentration of pigmentation (Figure 4)

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Nevertheless, other classification criteria must be used for peptides, whose mature forms possess structural motifs of different classes