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J Orthop Res 23(2):281286 Gosens T, Den Oudsten BL, Fievez E, vantSpijker P, Fievez A (2012) Pain and activity levels before and after platelet-rich plasma injection treatment of patellar tendinopathy: a prospective cohort study and the influence of previous treatments

The condition likely results from some combination of genes (up to half of people with melasma have or had a close relative with melasma), hormonal changes and sun exposure