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Deep fungal infections involving the palate or maxilla are an important differential diagnosis for the clinical entity midline destructive disease. Other conditions that fall into this category include NKT-cell lymphoma, other infections such as tertiary syphilis, granulomatosis with polyangiitis (Wegener disease), cocaine use, and epithelial malignancy of surface or salivary gland origin.34 A biopsy readily distinguishes among these entities

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Revenue net of excise taxes rose 5.3% to $4.8 billion, while adjusted diluted earnings per share increased 7.3% to $1.32

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