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Consent for publication was therefore not obtained, but patient information and descriptions were sufficiently anonymized in accordance with ICMJE guidelines, with no use of external or identifiable photographs.\n                      Moreover\n                      ,\n                      the Kitasato University Ethics Committee determined that the submission of this case to an English-language journal and presentation at academic conferences does not conflict with the \u201cEthical Guidelines for Life Science and Medical Research Involving Human Subjects\n                      ,\n                      \u201d even if the individual is deceased and consent cannot be obtained (Approval No. B24-114).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}],"article-number":"33"}}