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Nevoid melanoma of the anogenital region is rare but can be recognized by worrisome features such as deep dermal mitotic figures, absence of maturation, and subtle cytologic atypia [72, 73]

During mitochondrial oxidation the first oxidation step, catalyzed by various acyl-CoA dehydrogenases, results in the reduced electron carrier FADH 2 that then delivers its electrons directly to the electron transport chain for synthesis of ATP