
Golden Retriever Licking Paws
By JJ Allan (goldenretriever.hair)
A Golden Retriever who licks a paw after a muddy walk is grooming. A Golden who returns to the same foot all evening, or who works through all four feet until the fur stains, is telling you the skin hurts or itches. The lick itself is not the diagnosis. Published descriptions sort the picture by how many feet are involved, whether the top or the bottom is red, and whether a boil, a smell, or a limp has shown up.
This page follows that order. The workup for itch that also involves the ears, the face, or the belly is the allergies guide. Scale, yeast as a coat problem, parasites, and lumps are the skin problems guide. A raw patch that spreads in a day is the hot spots guide. Nails, the hair between the pads, salt, and cracked pads are the paw care guide. Nothing here is a medication dose.
This guide is general information, not veterinary advice. Constant licking can be an allergy, an infection, a foreign body, or a tumor, and those are separated by an exam and by samples. Your veterinarian makes the diagnosis. This page gives no medication doses. Call the same day for a limp, a swollen foot, blood, pus, a spreading raw patch, or a smell you notice from across the room.
One foot or all four
The patterns below are a reason to book the visit, and they are not a diagnosis you make on the rug.
VCA's pododermatitis page uses that word for inflammation of the feet. The cause list is long: bacteria, yeast, fungus, and parasites; allergic disease, including atopy, seasonal allergy, food hypersensitivity, and contact allergy; immune-mediated disease, including pemphigus foliaceus and systemic lupus erythematosus; hormonal disease, including hypothyroidism, Cushing's disease, and hepatocutaneous syndrome; tumors, including squamous cell carcinoma, melanoma, and mast cell tumor; and irritant contact from trauma, hard surfaces, clipper burn, or a splinter.
The signs overlap, and VCA still says some of them point. Infectious feet are often red and swollen, with bumps, ulcers, or pus, hair loss, and constant licking. Allergic feet are inflamed, itching is constant, and the tops of the paws are the usual site. The fur picks up a reddish-brown stain from salivary pigment or from yeast. Contact, from walking on an offensive substance, usually involves the undersides, though the whole paw can follow. Immune-mediated disease tends to cause crusts and ulcers, commonly on all four feet, especially the pads and the nailbeds. Hormonal disease shows up as a secondary infection. A tumor usually involves one foot, as a nodule or an ulcer. VCA adds that squamous cell carcinoma of the nailbed can involve more than one foot.
Merck's professional chapter on interdigital furunculosis puts the painful nodules most often on the top of the paw, and sometimes on the bottom. A lesion from a foreign body, and Merck's example is a grass awn, is usually solitary and often on a front foot. Recurrence is uncommon in that case. When bacteria are driving it, there may be several nodules, with new ones appearing as others resolve.
Write this down before the visit: one foot or four, top or bottom, a stain or a boil, a limp or only a lick, and whether the ears or the belly are in it too. VCA says the questions that narrow the cause include where the dog walks, whether the signs are seasonal, whether there are lesions anywhere else, what the diet is, and whether treatment so far has changed anything. The answers belong in the exam room. Allergic and immune-mediated pododermatitis, on that page, are managed rather than cured.
| What you see | What the source says | Where it goes |
|---|---|---|
| All four feet, mostly the tops, reddish-brown fur, itch on the face, ears, or belly | VCA: allergic pododermatitis, constant itch, stain from saliva or yeast. Cornell: dogs with atopy lick and chew their feet, and licked hair can turn brown from saliva. | Book an exam. The allergies guide is the food-trial and itch page. Ears that join in have their own guide. |
| Bottoms of the paws after a surface, lawn, or cleaner, and the rest of the paw may follow | VCA: contact and irritant pododermatitis involve the undersides. Hard surfaces, clipper burn, and splinters are on that list. | Rinse intact skin. A raw underside, a limp, or a lick that continues is a clinic visit, not another wipe. |
| One foot, often a front foot, a limp, a single boil, or a draining sore | Merck: a foreign body such as a grass awn is usually solitary, often on a front foot, and recurrence is uncommon. VCA: a tumor usually involves one foot. | Same day. Do not lance it, and do not wait on a balm. The clinic looks for the object and samples anything that looks like a growth. |
| Several bumps between the toes, with new ones as older ones settle | Merck: bacterial furuncles can come in sets. The most common causes of recurrent furuncles on the owner page are atopy and demodicosis. | The veterinarian chooses the drug and the length. Stopping early is a recurrence reason Merck names. The skin guide covers the mites and the thyroid chapter. |
| Crusts and ulcers on all four feet, especially pads and nailbeds | VCA: this pattern is the immune-mediated one, including pemphigus foliaceus. | Clinic. A paw wax does not treat a crusted pad. |
| A moist red patch that grew in a day, often on a foot or forearm the dog can reach while lying down | VCA: a pinpoint of red in the morning can be a pancake-sized raw lesion by evening. Bored dogs lick the feet and forearms because those spots sit under the face. | Same day if it is open and spreading. |
Allergy, and why this page stops there
Cornell says there is no specific test, and your veterinarian excludes the lookalikes.
Merck's chapter on atopic dermatitis includes the Golden Retriever among breeds predisposed to the disease, along with Boston Terriers, Boxers, Chinese Shar-Peis, Dalmatians, Labrador Retrievers, Lhasa Apsos, Scottish Terriers, Shih Tzus, West Highland White Terriers, and Wire Fox Terriers. Onset is generally between 6 months and 3 years. There is no sex predisposition. Merck says how common it is inside a breed depends on the genetic pool and the region. That sentence is why this page does not invent a Golden percentage.
The characteristic sign is itch. The sites Merck names most often are the paws, the face, the ears, the flexures of the front legs, the armpits, and the abdomen, and the map can vary by breed. Primary spots are uncommon. Most of what you see is secondary to self-trauma, and secondary infections with Staphylococcus and Malassezia are common and make the signs worse. In a small number of dogs, chronic or recurrent ear disease is the only sign. If the ears are the loud part and the paws are the quiet part, the ear infections guide sits next to this one.
Cornell's Riney Canine Health Center page describes the same disease for dogs as a group. It may affect as much as 10 to 15 percent of the dog population. That figure is dogs, not a Golden rate. Cornell calls it lifelong. Signs typically start between 6 months and 3 years. The breed list includes Golden Retrievers. Dogs react by scratching behind the elbows, licking and chewing the feet, rubbing the face, and scooting. Early on, the skin can look normal. Later, licked hair can show a brown discoloration from salivary staining, and the skin can darken and thicken. Cornell says the itch often has a seasonal component, in 40 to 75 percent of cases, and it can become year-round.
Cornell's diagnosis line is the one to remember at home: there is no specific test, so the presumptive diagnosis uses the classic itch, the exam, the response to treatment, and the exclusion of fleas and other parasites such as sarcoptic mange, plus bacterial and fungal infections of the skin and ears. Dogs with atopy may also react to fleas and to foods. The food trial, the rechallenge, and the drug choices live on the allergies guide. VCA's interdigital-cyst page says allergy-induced paw inflammation is the most common cause of those bumps, and that allergic dogs often itch and get infections in other places, such as the ears. That is a pointer back to the allergies guide, not a second copy of it.
Bumps between the toes
Your veterinarian chooses the tests and the drug.
Merck's owner page, reviewed by Karen A. Moriello, DVM, DACVD, calls an abscess between the toes an interdigital furuncle. The most common cause is a deep bacterial infection. The predisposed examples are Chinese Shar-Peis, Labrador Retrievers, and English Bulldogs, because of short bristly hairs on the webbing, a lot of webbing, or both. The short shafts get forced backward into the follicles while the dog walks. Those hairs are inflammatory, and a secondary bacterial infection is common. Less often, a splinter or a burr is the start. The Golden Retriever is absent from the breeds named for that short-hair mechanism. A sore foot in a Golden still needs an exam.
Early signs are a rash-like redness and small bumps in one spot or across the webbing. Left alone, Merck says those bumps rapidly become shiny reddish-purple boils 0.4 to 0.8 inches (1 to 2 centimeters) across. They can rupture and leak bloody fluid. They are usually painful. The dog may be lame and may lick and bite the foot. A foreign-object furuncle is usually solitary, often on a front foot, and recurrence is uncommon. A bacterial problem may show several furuncles, with new ones as others heal.
The professional chapter says these nodules are deep pyoderma and are often incorrectly called cysts. Histologically they are almost never true cysts. VCA's owner page still uses "interdigital cysts" for the inflamed bumps, and it says they are also known as follicular cysts or furuncles. Both pages are describing painful swellings between the toes that the dog licks. The word on the discharge papers can be either. The lab description is the veterinarian's.
VCA's account of how the bump forms matches the follicle story. Inflamed follicles rupture into the surrounding tissue, the swelling can open and drain, and licking continues the cycle and can introduce infection. If it is not treated quickly, VCA says cellulitis and scarring may follow. Allergy is the most common cause on that page. Mechanical risks are separate: large-breed dogs with short or coarse hair, and the examples are pit bull terriers, bulldogs, German shepherds, and Labrador retrievers; rough ground or cage floors; obesity; arthritis or another pain that shifts weight and rubs the toes; and dogs with large webbed paws or deep pockets between the toes. A Golden is not on VCA's short-or-coarse-hair examples. Whether this dog's conformation, weight, or footing belongs in the mechanical half is an exam question, not a sentence this page can finish. Less common contributors on the VCA page are Demodex mites, splinters, grass awns, and endocrine disease, including hypothyroidism.
Diagnosis, on Merck's owner page, is often from the signs, with tests for inflammation and parasites, cultures to choose an antibiotic, biopsy of abnormal growths, and lancing when the point is to find a foreign object. VCA adds skin scrapings, hair plucks, tape preps, a diet trial when allergy is suspected, and blood and urine tests when hypothyroidism or Cushing's disease is on the list. Merck says furuncles respond best when treatment at the foot is combined with a system-wide drug. The length and the drug are the clinic's choice. Using antibiotics improperly, including not finishing the prescription, is a reason Merck gives for long-term recurring furuncles. If they recur despite proper treatment, Merck's owner page says that can mean an underlying disease such as parasites, hypothyroidism, or a fungal infection. The most common causes of recurrent furuncles, on that page, are atopy and demodicosis. Furuncles in a dog kept on wire or concrete are likely to recur until the footing changes. Some long-term cases need surgery on the webbing. Your veterinarian decides whether this dog is one of them.
The skin problems guide is where yeast as a coat disease, mites, and the thyroid chapter are written out. This page stops at the foot.
A grass awn and a furuncle can look alike
Telling a grass awn and a furuncle apart is an imaging job at a clinic.
Fenet, Layssol-Lamour, Pressanti, Briand, Desquilbet, and Hahn published a retrospective study in Veterinary Radiology & Ultrasound in 2023 (DOI 10.1111/vru.13273). Fifty-nine dogs had already come in for interdigital ultrasound. Twenty-seven had interdigital furunculosis. Thirty-two had an interdigital abscess secondary to a migrating grass awn. These were not a Golden Retriever census, and the percentages are not a breed rate.
Pruritus or licking was present in 74 percent of the furunculosis dogs and 70 percent of the grass-awn dogs. A discharging interdigital wound was present in 63 percent of each group. A thoracic limb was involved in 88 percent of the furunculosis dogs and 75 percent of the grass-awn dogs. The foot looked similar enough, in other words, that the history of licking did not separate the two diseases. The authors were asking whether ultrasound features could. Features that favored a grass awn were a main multilinear element that could be displayed in a single plane, no extra linear elements in other planes, and a surrounding hypoechoic halo. A length cutoff of 0.83 centimeters for that main element had a sensitivity of 91 percent and a specificity of 87 percent for a migrating grass awn in this series. That cutoff is an ultrasound measurement, not something to check at home.
Merck's clinical description sits next to the paper without becoming the same statistic. A foreign-body lesion is usually solitary and often on a front foot, and recurrence is uncommon. The paper says both diseases commonly involve a front leg and commonly drain. A single sore front foot after grass season is a reason to call, because both entries on the list need a veterinarian, and they do not need the same treatment. The paper's own first sentence is that the treatments differ.
The brown stain and yeast
Your veterinarian sets any shampoo or oral treatment, including how long a product stays on the skin.
VCA's yeast dermatitis page names Malassezia pachydermatis. It lives on normal skin. When it overgrows, the signs VCA lists are itching and redness, a musty odor, scales and crusts, thickened skin, dark pigment, and chronic or recurrent ear infections. The organism is not contagious. Extra oil on the skin, including the oil that comes with allergic disease, is a common setup. Some dogs become hypersensitive to yeast and react intensely when only a few organisms are present. The breeds VCA lists as possibly genetically predisposed are West Highland White Terriers, Basset Hounds, Cocker Spaniels, Silky Terriers, Australian Terriers, Maltese, Chihuahuas, Poodles, Shetland Sheepdogs, Lhasa Apsos, Boxers, Shih Tzus, and Dachshunds. The Golden Retriever is absent from that list. A Golden with inflamed paws can still overgrow yeast, and a musty foot still needs a sample.
Diagnosis is an exam plus a sample: a scraping, an impression smear, a swab, tape, or, when the clinic needs more, a biopsy. Most of those can be read in the clinic. Treatment may be topical, oral, or both, and VCA says the underlying allergy or other skin disease has to be managed or the yeast returns. The shampoo, the contact time, and the frequency are the veterinarian's instructions on the bottle they chose. A contact time copied from a general article is no substitute for a sample.
The stain has a second, non-yeast explanation. VCA's pododermatitis page and Cornell's atopy page both attribute reddish-brown or brown hair to salivary pigment. A stained paw can be wet from licking, colonized by yeast, or both. The sample is what separates them. The skin problems guide is the longer yeast and scale chapter.
A hot spot on a foot
Cleaning, antibiotics, and a collar are the clinic's plan when the wound is open.
VCA's hot-spot page calls these lesions pyotraumatic dermatitis or acute moist dermatitis: red, inflamed, quick to appear, oozing, sometimes with pus. Common sites are the head, the legs, and the hips. They can hide under a mat. The usual start is self-trauma. The itch underneath can be allergy, an insect bite, an ear infection, a primary skin infection, a mat that stays wet, boredom, an orthopedic ache, or anal-gland pain. Licking the sore irritates the nerve endings, which drives more itching, which drives more licking. That lick-itch-lick cycle is the mechanism VCA names.
The size change is the part owners underestimate. VCA says owners may leave for work after noticing a pinpoint of redness and come home to a raw lesion the size of a pancake. Boredom is on the cause list in a specific form: the dog licks what the mouth can reach while lying down, and the feet and forearms are right there. That sentence is not a personality diagnosis. It sits beside allergy, infection, and pain. A foot that is being licked because the dog is bored can still be a foot that is becoming a hot spot, and a foot that is already infected will keep the dog licking even when the dog is busy.
VCA's treatment page says dogs with long, dense coats are prone, and the examples are German Shepherds and Saint Bernards. The Golden Retriever is not the example on that page. A dense coat can still hide a wet lesion, which is why parting the feathering on the feet matters. Healing, on that page, means the wound is cleaned and allowed to dry without more licking. The clinic clips the hair, disinfects the surface, may prescribe an oral antibiotic if the infection is deeper than the surface, and sends the dog home in an Elizabethan collar. Hot spots recur when the itch underneath is still there. The steps, the collar, and the prevention live on the hot spots guide.
AVMA's external-parasite page is the flea and mite line that belongs in the same conversation. Fleas, ticks, and mites are common, and an infestation can cause serious skin problems or disease. AVMA's advice is a preventive, a prompt treatment if parasites are found, a look through the coat after time in places where parasites are likely, and a call to the veterinarian if the pet excessively scratches, chews, or licks. AVMA also names between the toes as one of the most common places to find a tick on a dog. The product and the dose are the clinic's. The skin guide is the longer parasite chapter, including the mites that make people itch.
What a wipe, a wax, and a rinser can do
These products are for mud, pollen, and intact pads, and an open, smelly, or painful paw goes to the clinic.
VCA's contact description is the reason a rinse exists at all. Material on the underside can inflame the paw, and the dog then licks it. A wipe or a paw washer is for that film, on skin that is still whole. It does not replace the sample VCA requires once there is pus, odor, or a nodule. Salt, ice, and ice melt are a winter version of the same lick, written out in the cold weather guide. Nails that change how the foot lands, and hair between the pads that mats and holds debris, are the paw care guide.

Dexas MudBuster large paw cleaner, blue
The large size is sold for paws about 2.5 to 3.5 inches wide. Measure this dog's paw across the widest part before you order it. A Golden paw that is wider than that range needs a different size. Fill it, dip an intact paw, and let the silicone bristles work through mud. It is a rinse for dirt on whole skin after a walk. It is not a treatment for a boil, a cut, a limp, or a foot that smells. Those go to the clinic, unwashed if the veterinarian wants a sample.

Burt's Bees for Pets honey multipurpose grooming wipes, 50 count
These are grooming wipes for mud and pollen on the coat and on skin that is intact, including a paw that is dirty and not open. They are not an antibiotic, and they are not a test for yeast. If the webbing is red, moist, or smelly, put the canister down and book the visit. VCA's yeast page starts with a sample, then whatever topical product the veterinarian sends home.

Musher's Secret paw wax, 60 gram tin
This is a wax for intact pads before a walk on salt, ice, hot pavement, or rough ground. Rub a thin layer into pads that are whole. A pad that is split, bleeding, or infected needs the clinic, not a thicker coat of wax. If it smears across the floor, you used too much. Winter salt and ice melt are the cold weather guide. The rest of the year, including nails and the hair between the toes, is the paw care guide.
When to call
A bright dog licking a dirty paw after a field can be rinsed and watched for a day, and a limp, a smell, or a swelling does not get that day.
Call the same day for any of these:
- 🐾A limp, a foot the dog will not put down, or a walk that stopped being ordinary.
- 🐾One swollen paw, a boil between the toes, blood on the floor, or pus. Merck treats a foreign-body furuncle as usually solitary and often on a front foot. VCA treats a single-foot nodule as a reason to think about a tumor as well as an infection.
- 🐾A moist red patch that is larger than it was this morning. VCA's hot-spot example is a pinpoint that becomes pancake-sized between leaving and coming home.
- 🐾A musty or foul smell, greasy webbing, or fur that is suddenly dark and thickened. That is VCA's yeast picture, and it needs a sample.
- 🐾Crusts on the pads or nailbeds of more than one foot. VCA's immune-mediated pattern is all four feet.
- 🐾People in the house who are itching, or a dog whose itch is sudden and severe. The skin guide covers sarcoptic mange. Do not board or groom that dog until the clinic has seen it.
- 🐾Head shaking along with the paw licking. Merck notes that chronic ear disease can be the only sign of atopic dermatitis, and VCA lists ear infections among the itches that start a hot spot. The ear guide is the cleaning page. The appointment covers both ends of the dog.
ACVD's FAQ says the usual path to a veterinary dermatologist is a conversation with the primary veterinarian. The signs that FAQ lists include hair loss, scabs, dandruff, a change in color or texture, a bad odor from the skin or ears, constant licking or chewing of the body, ears, or feet, and a lot of head shaking. A referral is for a case that is not improving, a case that is hard to diagnose, or a procedure that needs specialty equipment. The primary clinic stays involved.
Questions owners ask
Why is my Golden Retriever licking their paws constantly?
Constant licking means the skin itches or hurts. VCA's pododermatitis page splits the look: infectious feet are red, swollen, and often licked without a break; allergic feet are usually the tops and often stain reddish brown; a single foot raises foreign-body and tumor questions. Occasional grooming after a walk is a different behavior. The veterinarian tells them apart.
Is constant paw licking always allergies?
Allergy is the most common cause VCA gives for interdigital cysts, and Merck and Cornell both put the paws on the atopic map. Golden Retrievers are on those atopic breed lists. The same Merck owner page says a furuncle caused by a foreign object is usually solitary, and VCA says a tumor usually involves one foot. Cornell says there is no specific test for atopy, because fleas, mites, and infections have to be excluded. The allergies guide starts after the foot has been examined.
What if only one paw is licked?
Merck says a furuncle from a foreign body such as a grass awn is usually solitary and often on a front foot. In the Fenet ultrasound series, a front leg and a draining wound were common in both grass-awn abscesses and furunculosis, and licking was about as common in both. One sore foot is a same-day visit because those two problems need different treatment, and because VCA also puts tumors on the one-foot list.
Why is the fur between the toes reddish brown?
VCA attributes that stain to salivary pigment or to yeast overgrowth. Cornell describes the same brown discoloration from saliva in atopic dogs who lick. Yeast that has overgrown adds a musty odor, grease, scale, and thickened dark skin, and VCA diagnoses it from a sample. A wipe will not answer which one it is.
Do Golden Retrievers get interdigital cysts more than other breeds?
Merck's predisposed breeds for the short-bristle mechanism are Chinese Shar-Peis, Labrador Retrievers, and English Bulldogs. VCA's short-or-coarse-hair examples are pit bull terriers, bulldogs, German shepherds, and Labrador retrievers. The Golden Retriever is on neither list. VCA still says allergy is the most common cause of these bumps, and Golden Retrievers are on Merck's predisposed list and Cornell's list of commonly affected breeds. A Golden can get the lesions. The short-hair lists are not a breed rate for Goldens, and this page will not invent one.
Can boredom be the whole explanation?
VCA includes boredom: dogs lick the feet and forearms because those areas sit under the face when they lie down, and that licking can start a hot spot. The sentence sits on a page that also lists allergy, infection, pain, and mats. Boredom is a cause to consider after the paw has been examined and the skin between the toes is healthy. It is a weak first guess for a foot that smells, bleeds, or limps.
When do we see our veterinarian, and when a dermatologist?
Same day for a limp, swelling, blood, pus, a spreading raw patch, or a strong odor. ACVD points constant licking of the feet, odor, and a case that is not improving toward a dermatologist, usually after the primary veterinarian suggests the referral. AVMA says to call if a pet excessively licks, and to stay on a parasite preventive. The primary clinic remains the first call.
Will a paw wipe or a wax stop the licking?
A rinse or a wipe removes mud and pollen from intact skin. A wax protects intact pads from salt, ice, and rough ground. Neither one treats a furuncle, a grass awn, yeast, or a hot spot. If the licking is still constant after the feet are clean and the skin looks whole, the next step is an appointment, not a stronger wipe.
Sources
Inflamed feet, the cause list, tops versus undersides, the reddish-brown stain, all-four-feet crusts on pads and nailbeds, and a tumor usually limited to one foot: VCA, pododermatitis in dogs.
Interdigital cysts as inflamed bumps between the toes, allergy as the most common cause, ears as a fellow site, the short-or-coarse-hair examples, mechanical risks, Demodex, grass awns, and hypothyroidism: VCA, interdigital cysts in dogs.
Malassezia pachydermatis as a normal yeast that overgrows, the musty odor and thickened skin, the breed list, diagnosis by sample, and treatment set by the veterinarian: VCA, yeast dermatitis in dogs.
Pyotraumatic dermatitis, the lick-itch-lick cycle, the pinpoint-to-pancake example, and boredom licking of feet and forearms: VCA, hot spots in dogs. Long, dense coats, with German Shepherds and Saint Bernards as the examples, clipping, disinfection, and an Elizabethan collar: VCA, hot spots, what they are and how to treat them.
Owner-page furuncles, the Shar-Pei, Labrador, and English Bulldog examples, boils 0.4 to 0.8 inches, a solitary front-foot foreign body, and atopy and demodicosis as the most common causes of recurrence: Karen A. Moriello, DVM, DACVD, Merck Veterinary Manual, pet-owner version, full review June 2018, updated September 2024. Abscesses between the toes. Professional chapter, deep pyoderma often miscalled cysts, dorsal paw, grass-awn lesions, full review June 2024: Interdigital furunculosis in dogs.
Atopic breed list including the Golden Retriever, onset from 6 months to 3 years, paws among the frequent sites, and secondary Staphylococcus and Malassezia: Merck Veterinary Manual, atopic dermatitis in dogs.
Ten to 15 percent of the dog population, a lifelong course, Golden Retrievers on the breed list, onset from 6 months to 3 years, foot licking, salivary staining, a seasonal component in 40 to 75 percent of cases, and no specific test: Cornell Riney Canine Health Center, atopic dermatitis.
When constant licking, odor, or a case that is not improving belongs with a veterinary dermatologist: ACVD, frequently asked questions.
Fleas, ticks, and mites, ticks most often found around the neck, in the ears, in the folds between the legs and body, and between the toes, and a call when a pet excessively licks: AVMA, external parasites.
Fifty-nine dogs, licking in 74 percent and 70 percent, a draining wound in 63 percent of each group, thoracic-limb involvement in 88 percent and 75 percent, and the 0.83 centimeter ultrasound cutoff: Marion Fenet, Catherine Layssol-Lamour, Charline Pressanti, Amaury Briand, Loic Desquilbet, and Harriet Hahn, Veterinary Radiology & Ultrasound, 2023. PubMed 37438676. DOI 10.1111/vru.13273.
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