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Another approach for creating a mutated Tet repressor which binds to a class A tet operator is to further mutate the already mutated Tn10-derived Tet repressor described herein (a class B repressor) such that it no longer binds efficiently to a class B type operator but instead binds efficiently to a class A type operator. Hypertrophic lesions are treated with intralesional triamcinolone acetonide (Kenalog), augmentin 457 mg/ 5ml 5 to 10 mg per mL injection (0.5 to 1 mL per 2-cm lesion).

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