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Both patients presented with skin atrophy, hypochromic and hyperchromic areas with multiple telangiectasias (poikiloderma), and freckles predominantly in photo-exposed areas, as well as conjunctivitis and mild bilateral ectropion of the lower eyelid (right-hand image)

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However, a cigarette thats exposed to air will dry out, degrade in quality, and can even develop mold and other types of fungus