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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)

Compared to AP patients who have never smoked, smokers with AP have a more severe condition and a higher incidence of MSAP or SAP

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I Introduction Since entering the Canadian marketplace in the late 2000s, the proliferation of next-generation products (NGPs) comprising e-cigarettes, heated tobacco, snus (a moist smokeless tobacco product made from shredded tobacco leaves), and tobacco-free oral nicotine pouches has presented regulators with a significant opportunity to reduce smoking-related harms

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