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There are 3 four-letter words beginning with PIA

PIALpial adj. (Anatomy) Of or pertaining to the pia or pia mater.
pial n. (India) A raised platform on which people sit, usually under the veranda, or on either side of the door of a house.
PIAL adj. pertaining to a pia, a membrane of the brain.
PIANpian n. (Medicine, archaic) yaws.
PIAN n. a tropical disease.
PIASPIAs n. Plural of PIA.
PIA n. a membrane of the brain.

Scrabble words — in black are valid world wide — in RED are not valid in North America — in GREEN are valid only in North America.
Definitions are short excerpt from the WikWik.org and 1Word.ws.

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