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When erosions form they are slow to heal Lesions can be persistent and extensive in the buccal mucosa, especially the hard palate Refer to the related chapter Mucous membrane pemphigoid Pemphigus vulgaris (figure 57) Mucosal lesions may precede cutaneous lesions by months, or may be the only manifestation of the condition Bullae are rarely seen, instead, ill-defined, painful erosions mainly involving the lips, buccal mucosa and palate , which are slow to heal

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The more symptoms you have, the more severe your substance use disorder may be