Usually means: Substitution of "r" for "l".
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We found 6 dictionaries that define the word pararhotacism:

General (3 matching dictionaries)
  1. pararhotacism: Wordnik
  2. pararhotacism: Wiktionary
  3. pararhotacism: Dictionary.com

Medicine (3 matching dictionaries)
  1. Dorland's Illustrated Medical Dictionary (No longer online)
  2. online medical dictionary (No longer online)
  3. pararhotacism: Medical dictionary

Definitions from Wiktionary (pararhotacism)

noun:  Inability to pronounce the letter R, rhotacism.

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