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Figure 2c, Cue the smoke: when lighting up becomes a mark of maturity, and Figure 2d, A secret smoke away from home, capture this duality, both normalization and concealment of smoking based on cultural and familial contexts

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Clinicians should approach the recommendation of e-cigarettes for smoking cessation with caution and ensure these products are not initiated by individuals without a prior history of smoking

Many patients also present ectropion and a thick adherent scalp desquamation that may precede an almost total cicatricial alopecia.26 Palmoplantar involvement also presents a laminar aspect, with areas of diffuse thickening and a smooth surface (Fig