This lesion on the palate is typically associated with heavy pipe and cigar smoking and is called:

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The lesion described is most consistent with nicotine stomatitis, which is characterized by erythematous areas surrounded by a white keratotic pattern that results from prolonged exposure to heat from smoking tobacco. Heavy pipe and cigar smokers are frequently affected, and the palate is a commonly involved site. Option A (tobacco pouch keratosis) refers to a white lesion that can occur on the vestibule in those who use smokeless tobacco, option B (necrotizing sialometaplasia) presents as a deep ulcer on the palate that is often mistaken for carcinoma, and option D (frictional keratosis) typically presents as a white, corrugated lesion on the buccal mucosa, caused by chronic frictional trauma.

This Lesion on the Palate Is Typically Associated with Heavy