Your search found 4 image(s) of leaves of Clethra and Itea.
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Leaf margins toothed throughout vs. Clethra alnifolia's only on upper blade, per Atlantic Coastal Plain Wildflowers (Nelson, 2006).
Leaves sharply toothed (on upper half of blade), w parallel lateral veins, per Atlantic Coastal Plain Wildflowers (Nelson, 2006).
Leaves oblanceolate to elliptic-lanceolate, densely tomentose beneath, per Vascular Flora of the Carolinas (Radford, Ahles, & Bell, 1968).