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The pathogenesis involves both increased production and decreased renal excretion of serum urate, exacerbated by dietary factors (e.g., purine-rich foods and high alcohol intake) and genetic predisposition [8] Recent classification systems emphasize that urate homeostasis is influenced not only by renal excretion but also significantly by intestinal elimination – accounting for at least one-third of total urate excretion

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Another form of alopecia areata is alopecia totalis, the total loss of hair on the scalp, only leaving the white hair in its place