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Smoker melanosis in a patient consuming 2 packs of cigarette per day. Smoking or the use of nicotine-containing drugs is the cause to Smoker's melanosis. [10] [11] Tar-components (benzopyrenes) are also known to stimulate melanocytes to melanin production, and other unknown toxic agents in tobacco may also be the cause.
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Smoker's face describes the characteristic changes that happen to the faces of many people who smoke tobacco products. [1] [2] Smoking causes damage to the skin by depleting the skin of oxygen and nutrients. [3] The general appearance is of accelerated ageing of the face, with a characteristic pattern of facial wrinkling and sallow coloration.
STK typically occurs in the buccal sulcus (inside the cheek) or the labial sulcus (between the lips and the teeth) and corresponds to the site where the tobacco is held in the mouth. [6] It is painless. [7] The appearance of the lesion is variable depending upon the type of tobacco used, and the frequency and duration of use. [6]
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Clinically presentation of melanotic macules are typically a brown, black, blue or grey area that is well circumscribed, lesions are usually less than 10 mm in diameter but can be larger in some cases. Vermillion border of the lips is the most common site to find melanotic macules. [25]
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