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Editorials |

Smoking and Wrinkles: Does It Matter?

Thomas E. Kottke, MD
[+] Article and Author Information

Grant Support: National Institutes of Health grant CA-38361.


MSPH Mayo Clinic and Foundation
Rochester, MN 55905


Ann Intern Med. 1991;114(10):908-909. doi:10.7326/0003-4819-114-10-908
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This excerpt has been provided in the absence of an abstract.

In this issue, Kadunce and colleagues (1) report that smoking is associated with wrinkles. Importantly, the association is independent of age, exposure to the sun, and level of pigmentation. Many readers will undoubtedly respond, "So what? Nobody ever died of crow's feet. Why doesn't the Annals focus on the really impressive effects of smoking—the death and the disability?"

Doctors are impressed by the death and disability caused by smoking because they see it first hand. Some patients will also respond to the message that smoking kills and maims. However, many patients will find the threat of death so remote that

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