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After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.","order":1,"name":"Ethics","label":"Declaration of generative AI and AI-assisted technologies in the writing process","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Verbal and written informed consent for the publication of clinical details and images were obtained from the patient and his families.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Motohiro Okumura, Kenichi Sakuta, Yui Shiozawa, Yuichiro Muraoka, Yuri Mizuno-Shojima, Shota Nakagawa, Ai Iwauchi, and Hideki Uryu reports no disclosures. Yasuyuki Iguchi reports speaker honoraria from Abbvie, Alexion, Amgen, Biogen, Bristol Myers Squibb, Chugai, CSL-Behring, Daiichi-Sankyo, Eisai, Fujimoto Pharma, JB, Mitsubishi-Tanabe, Novartis, Otsuka, Pfizer, Sumitomo Dainippon, and Takeda, and his research is supported from B\u00f6ehringer-Ingelheim, Fujimoto Pharma, Chugai, JB Daiichi-Sankyo, Mitsubishi-Tanabe, Medical Concierge Co.,Ltd., NAGATANIEN Co., Ltd., Shionogi, and Otsuka.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"31"}}