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On examination, brownish-to-black discoloration on the posterior part and dorsal aspect of the tongue was noticed with elongated and hypertrophied filiform papillae, with complete sparing of the margins of the tongue [Figure 1]

WARNING: THIS ARTICLE CONTAINS CHEMICALS KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER OR BIRTH DEFECTS OR OTHER REPRODUCTIVE HARM

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Shen, B., Dong, P., Li, D

Tobacco products means any product that is made from or derived from tobacco that is intended for human consumption or is likely to be consumed, including but not limited to : cigars, including little cigars

In others, pouches are treated similarly to smokeless tobacco for shipping and import purposes