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16 Oral features of tertiary syphilis have been characterised by gumma (painless, granulomatous inflammation involving the palate and/or tongue), atrophic luetic glossitis, and more rarely, by syphilitic leukoplakia

In fiscal 2008, the group found that the state registered a $3.6 million expenditure on such programs, about 6.6 percent of the Center for Disease Control's recommended minimum.[] Much of the spending of the MSA money in Michigan and elsewhere has not dealt with Medicaid costs or smoking prevention a disconnect with the purported purpose of the original lawsuits