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There are 81 twenty-letter words containing 4A, M, N and S

acanthokeratodermiasacetylgalactosaminesacetylgalactosaminyladenosquamocarcinomaagammaglobulinaemiasagammaglobulinaemicsAmerican␣Sign␣LanguageAmerican␣Water␣Spanielaminoacyltransferaseantiauthoritarianism anti-authoritarianismantiparliamentariansantiparliamentaristsantitransglutaminaseAppalachian␣dulcimersappointment␣in␣Samarraargumenta␣ad␣passionesArmenian␣Sign␣LanguageAtlantic␣Standard␣TimeAustralasian␣slimwingAustralian␣as␣a␣meat␣pieBarnham␣and␣EastergateBartramian␣sandpipersBrahmanbaria␣DistrictCampidanese␣SardinianCanadian␣as␣maple␣syrupcarbamoyltransferasecarbamyltransferasescharismatic␣megafaunaChrismahanukwanzakahcontraparallelogramscystadenocarcinomatadegrammaticalisationgalactosaminoglycansgastroadenocarcinomagravitational␣miragesgreat␣grand␣multiparashave␣marital␣relationshypertransaminasemiaJapanese␣jack␣mackerelJapanese␣mountain␣yamsKingdom␣of␣Saudi␣ArabiaKonohananosakuya-himeLady␣Amherst's␣pheasantLake␣Almanor␣Peninsulalanguage␣assimilationLatin-American␣SpanishMadagascan␣fish␣eaglesMadagascar␣periwinklemagnetoplasmadynamicManchurian␣candidatesManchurian␣crab␣applesmanipulated␣variablesman␣plans␣and␣God␣laughsmaster␣data␣managementmaternal␣grandfathersmathematical␣analysesmathematical␣analysismechanical␣advantagesmechanotranslationalmetasaccharinic␣acidsModern␣Standard␣ArabicNottingham␣alabastersphlegmasia␣alba␣dolensquantum␣cascade␣lasersradioimmunoassayableRamachandran␣diagramsRancho␣Santa␣MargaritarhamnogalacturonasesSabaragamuwa␣ProvinceSanta␣Monica␣Mountainssell␣in␣May␣and␣stay␣awaysquad␣automatic␣weaponsquamoadenocarcinomasubmandibular␣gangliatestamentary␣guardianTraditional␣Latin␣Masstraditional␣marriagestranscarbamoylationstrimetaphan␣camsilatetwo␣can␣play␣at␣this␣game

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