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Published with Permission After discussing the high likelihood for recurrence with the patient, the decision was made to proceed with bullae resection and pleurodesis

Skin was soft and there was history of skin fragility

He emphasised that under Sri Lankan law, betel quid cannot contain tobacco, and that selling, distributing, possessing, displaying for sale, or storing tobacco-containing betel quid is a punishable offence

The sores are generally white but can appear pink depending on the amount of tough tissue produced and the enlargement of underlying blood vessels

So, despite favourable taxation of these products, consumers do not see a knock-on benefit of reduced costs for HTP