Cigarette smoking–associated elastotic changes in the skin
Abstract
Background Clinical features of the skin in persons who smoke include increased wrinkling, gauntness, and discoloration that has been termed smoker's face. The histologic changes in the sun-exposed skin of these patients have not been previously elucidated.Objective The purpose of this study was to assess the amount of elastosis in the sun-exposed skin of smokers and nonsmokers.Methods We evaluated the skin from the forehead and cheeks of 17 smokers and 14 nonsmokers for the presence of elastosis. With the use of a computer-generated analysis of tissue sections at 4 different levels, the amount of elastotic material was expressed as an average percent of the field staining for elastic tissue. Patients were also evaluated for the presence of other malignancies, arsenic and radiation exposure, and previous skin cancers.Results There was a significantly greater amount of elastosis (P < .05) in the skin of patients who smoked compared with those patients who did not. No significant differences were found between the 2 groups with regard to the other parameters evaluated.Conclusion Cigarette smoking is associated with an increase in elastosis, which may contribute to the clinical features of "smoker's face."
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An increase in elastosis was found in the sun-exposed skin of the forehead and cheeks of smokers (N=17) vs. non-smokers (N=14).
“An increase in elastosis was found in the sun‐exposed skin of the forehead and cheeks of smokers (N = 17) vs. non‐smokers (N = 14).57”
From The impact of airborne pollution on skin (2019) · cites this paper as [57]
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SKIN AND HAIR CHANGES AFTER FORTY
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12 Disorders of elastic tissue
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- Authors
- Boyd, A. S., Stasko, T., King, L. E., Cameron, G. S., Pearse, A. D., & Gaskell d, S. A.
- Affiliations
- Vanderbilt University (US)
- ORCID
- Boyd, Alan S.
- Venue
- Journal of the American Academy of Dermatology
- Publisher
- Elsevier BV
- Published
- 1999-07
- Volume
- 41
- Issue
- 1
- Pages
- 23-26
- ISSN
- 0190-9622 (ISSN-L)
- OpenAlex
- W2063285510
- Cited by
- 101
- References
- 23
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 2 · 2019: 4 · 2018: 2 · 2016: 7 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Keywords
- cigarette smoking, elastosis, sun-exposed skin, skin aging, elastic tissue, skin histopathology, skin cancer risk
- MeSH terms
- Elastic Tissue, Elasticity, Female, Humans, Male, Middle Aged, Skin, Skin Physiological Phenomena, Smoking, Sunlight
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