{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T13:17:13Z","timestamp":1791119833931,"version":"4.1.0"},"reference-count":18,"publisher":"BMJ","issue":"6511","license":[{"start":{"date-parts":[[1985,12,21]],"date-time":"1985-12-21T00:00:00Z","timestamp":503971200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1985,12,21]]},"abstract":"<jats:p>In a prospective survey of patients attending a general medical outpatient clinic roughly half the current cigarette smokers who had smoked for 10 years or more were identified, using defined criteria, by their facial features alone. These facial features, designated \"smoker's face,\" were present in three (8%) of those who had smoked cigarettes for 10 years or more in the past and in none of the non-smokers. The association of smoker's face with current smoking that had continued for 10 years or more was significant (p less than 0.001) and remained after the patient's age, social class, exposure to sunlight, recent change of weight, and estimated lifetime consumption of cigarettes were controlled for. Smoker's face may be a helpful indicator in antismoking campaigns.<\/jats:p>","DOI":"10.1136\/bmj.291.6511.1760","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1760-1762","source":"Crossref","is-referenced-by-count":104,"title":["Smoker's face: an underrated clinical sign?"],"prefix":"10.1136","volume":"291","author":[{"given":"D","family":"Model","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1985,12,21]]},"reference":[{"key":"ref_1","article-title":"DECEMBER 1985","unstructured":"-28 DECEMBER 1985"},{"key":"ref_2","first-page":"641","article-title":"Clinical lectures on paralvsis","volume":"ii:","author":"Sollv, S.","unstructured":"Sollv S. Clinical lectures on paralvsis. Lancet 1856;ii:641-3.","journal-title":"Lancet 1856"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"873","DOI":"10.7326\/0003-4819-75-6-873","article-title":"Smoker's wrinkles: a studv in the epidemiology of \"crow's feet.\"","volume":"75","author":"Daniell, H.W.","year":"1971","unstructured":"Daniell HW. Smoker's wrinkles: a studv in the epidemiology of \"crow's feet.\" Ann Intern Med 1971-;75:873-80.","journal-title":"Ann Intern Med"},{"key":"ref_4","article-title":"Textbook of medicine","author":"Cecil, R.L.","year":"1982","unstructured":"Cecil RL. Textbook of medicine. 16th ed. Philadelphia: WB Saunders, 1982.","edition":"16th ed"},{"key":"ref_5","article-title":"French's ltndex of differential diagnzosis","author":"Hart, F.D.","year":"1979","unstructured":"Hart FD, ed. French's ltndex of differential diagnzosis. I I th ed. Bristol: John Wright and Sons, 1979.","edition":"I I th ed"},{"key":"ref_6","article-title":"Harmson's pnnciples ofinternal meditine","author":"Isselbacher, K.J.","year":"1983","unstructured":"Isselbacher KJ, ed. Harmson's pnnciples ofinternal meditine. 10th ed. New York: McGraw-Hill Book Company, 1983.","edition":"10th ed"},{"key":"ref_7","article-title":"Oxford textbook sfj medictne","author":"Weatherall, D.J.","year":"1983","unstructured":"Weatherall DJ, Ledingham JGG, Warrell DA, eds. Oxford textbook sfj medictne. Oxford: Oxford University Press, 1983."},{"key":"ref_8","article-title":"Chamberlain's rvmptoms and signs in clinical medtcine","author":"Ogilvie, C.","year":"1980","unstructured":"Ogilvie C. Chamberlain's rvmptoms and signs in clinical medtcine. Bristol: John Wright and Sons, 1980."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1080\/00039896.1968.10665202","article-title":"Morphological constitution and smoking","volume":"17","author":"Seltzer, C.C.","year":"1968","unstructured":"Seltzer CC. Morphological constitution and smoking. Arch Environl Health. 1968;17:143-7.","journal-title":"Arch Environl Health"},{"key":"ref_10","article-title":"Smoking and health: a report sf the surgeon general","author":"General, Surgeon","year":"1979","unstructured":"Surgeon General. Smoking and health: a report sf the surgeon general. Washington: US Departmcnt of Health, Education and Welfare, 1979."},{"key":"ref_11","article-title":"Smoking or health","volume-title":"Smoking and ageing","author":"of Physicians, Royal College","year":"1983","unstructured":"Royal College of Physicians. Smoking or health. London: Pitman, 1983. I I Bosse R, Rose CL. Smoking and ageing. Lexington: Lexington Books, 1984."},{"key":"ref_12","first-page":"1067","article-title":"Smoker's wrinkles?3'AMA","volume":"225","author":"Allen, H.B.; Johnson, B.L.; Diamond, S.M.","year":"1973","unstructured":"Allen HB, Johnson BL, Diamond SM. Smoker's wrinkles?3'AMA 1973;225:1067-9."},{"key":"ref_13","first-page":"788","article-title":"Smoker's wrinkles","volume":"226","author":"Weiss, W.","year":"1973","unstructured":"Weiss W. Smoker's wrinkles. J4MA 1973;226:788."},{"issue":"210","key":"ref_14","first-page":"2377","article-title":"Early destructive effect of sunlight on human skin","volume":"1969","author":"Kligman, A.M.","unstructured":"Kligman AM. Early destructive effect of sunlight on human skin.JAMA 1969;210:2377-80.","journal-title":"JAMA"},{"key":"ref_15","first-page":"1604","article-title":"Skin circulation in regular smokers","volume-title":"Ugeskr Leger","volume":"144","author":"Klemp, P.; Staberg, B.; Thomsen, K.","year":"1982","unstructured":"Klemp P, Staberg B, Thomsen K. Skin circulation in regular smokers. Ugeskr Leger 1982;144: 1604-6."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/0007-1226(84)90011-0","article-title":"Acute effects of tobacco smoking on blood flow in the cutaneous micro-circulation","volume":"37","author":"Reus, W.F.; Robson, M.C.; Zachary, L.; Heggers, J.P.","year":"1984","unstructured":"Reus WF, Robson MC, Zachary L, Heggers JP. Acute effects of tobacco smoking on blood flow in the cutaneous micro-circulation. BrJ Plast Surg 1984;37:213-5.","journal-title":"BrJ Plast Surg"},{"key":"ref_17","article-title":"Ac-epted lOjudv 1985)","unstructured":"(Ac-epted lOjudv 1985)"},{"key":"ref_18","article-title":"The clinical material that forms the basis of the study comes from Merton Priory in Surrey. This was one of the earliest of the Augustinian houses, founded in 1140; it shared in the common fate of the monasteries during the reign of Henry VIII and was dissolved and demolished in 1540. The site was used much later for industrial purposes: a calico bleaching trench was dug across it in the latter part of the eighteenth century and Liberty's used part of the site for dying material in the nineteenth. In 1868 a railway line was built across the chapter house. It was removed in 1975, and the site was excavated between 1976 and 1978; most of the area is now occupied by industrial units","unstructured":"The clinical material that forms the basis of the study comes from Merton Priory in Surrey. This was one of the earliest of the Augustinian houses, founded in 1140; it shared in the common fate of the monasteries during the reign of Henry VIII and was dissolved and demolished in 1540. The site was used much later for industrial purposes: a calico bleaching trench was dug across it in the latter part of the eighteenth century and Liberty's used part of the site for dying material in the nineteenth. In 1868 a railway line was built across the chapter house. It was removed in 1975, and the site was excavated between 1976 and 1978; most of the area is now occupied by industrial units."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.291.6511.1760","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.291.6511.1760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T19:47:09Z","timestamp":1765482429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.291.6511.1760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,12,21]]},"references-count":18,"journal-issue":{"issue":"6511","published-online":{"date-parts":[[1985,12,21]]},"published-print":{"date-parts":[[1985,12,21]]}},"alternative-id":["10.1136\/bmj.291.6511.1760"],"URL":"https:\/\/doi.org\/10.1136\/bmj.291.6511.1760","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"value":"0267-0623","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1985,12,21]]}}}