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Occup Environ Med, 52: 661-666

There are several conditions that we need to consider and rule out when diagnosing specific oral abnormalities commonly associated with smokeless tobacco use: Smokeless Tobacco Keratosis: Frictional keratosis Leukoplakia Squamous cell carcinoma Leukoplakia: Leukoedema Linea alba Morsicatio buccarum/linguarum Squamous cell carcinoma Erythroplakia: Mucositis Candidiasis Psoriasis Vascular lesions Squamous cell carcinoma Verrucous Carcinoma: Proliferative verrucous leukoplakia Verruca vulgaris Squamous papilloma Squamous Cell Carcinoma: Erythroleukoplakia Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) Oral manifestation of deep fungal infection What to expect with Pathologic Manifestations of Smokeless Tobacco The outlook for smokeless tobacco keratosis, a condition often found in people who use chewing tobacco, is generally good but depends largely on the patient

Other symptoms to watch out for are headaches, sore and dry mouth, tiredness and dark urine.While a glass of water should help you, remember dehydration also means that you are losing salts

Mohamed says he likes smoking, but struggles to define what he likes