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In the analyses of PMD subtypes, a seemingly stronger association was noted for PMDs diagnosed before age 25 years, compared with those diagnosed later, in both the population and sibling analyses (Table 4)

Microscopically, the textbooks describe a psoriasiform mucositis (inflammation pattern similar to skin psoriasis), a pattern of inflammation similar to that of skin psoriasis, with thickening of the epithelium, neutrophils accumulating in the upper layers as Munro abscesses (microscopic clusters of immune cells), and inflammation in the underlying connective tissue