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190 When receiving activation signals, B cells redirect glucose to the pentose phosphate pathway (PPP) to produce nicotinamide adenine dinucleotide phosphate (NADPH) and utilize acetyl-CoA from glucose oxidation

It is extremely important to differentiate these lesions from other pigmented lesions including oral melanomas which have a high mortality rate.1 Conclusion Pigmented lesions of the oral cavity often have similar presentations which pose a diagnostic dilemma to the dental surgeon

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