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The most coveted Birkenstock clog in a heritage leather finish that over time creates a unique, well-loved patina

The clinical and histological findings consistent with CSSD include: Presence of asymptomatic erythematous macules usually on the trunk Non-specific histopathological findings consistent with superficial dermatitis Persistence of lesions over time and previous resistance to treatment

But it left open some "loopholes," says Matt Myers of the Campaign for Tobacco-Free Kids

From a harm reduction point of view, there are wildly conflicting reports about whether counterfeits have additional harmful ingredients, and there is no reliable data