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The skin is significant for communication through facial expression and hand movements

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some LC patients experience difficulty maintaining wakefulness during the day, and some may meet diagnostic criteria for idiopathic hypersomnia or type 2 narcolepsy according to international sleep disorder classifications ( 2.6 Cognitive dysfunction Cognitive dysfunction in LC patients is characterized by a range of symptoms, including memory decline, attention deficits, executive dysfunction, and reduced language fluency, often accompanied by psychological distress ( Figure 1 )