To the Editor.—
The article by Drs. Shelley and Wood, "Unilateral Wrinkles," in the Archives (110:775-778, 1974), includes new histologic observations that should contribute to an understanding of the pathologic processes that cause wrinkling. Their report would have been more meaningful if they had let us know whether their subject was a right-handed smoker, as her wrinkles suggest.It is not uncommon for a righthanded individual to be more expressive with the right side of the face and to develop more profound wrinkling on this side as a result. Similar reasoning might explain increased wrinkling of the right hand and elbow but would seem less likely to explain any associated unilateral histologic abnormalities.The authors apparently dismissed the concept of "smoker's wrinkles" as a misnomer, without examining the appropriate literature. All of the data from whites in each of the three studies1-3 evaluating "smoker's wrinkles," including the report by
Daniell HW. Wrinkles. Arch Dermatol. 1975;111(7):927. doi:10.1001/archderm.1975.01630190117022
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