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Raynaud phenomenon Antiphospholipid syndrome Cholesterol emboli Smoking and cutaneous lupus erythematosus There is more than ten-fold risk of chronic cutaneous lupus erythematosus (especially discoid lupus erythematosus) in smokers compared to non-smokers

Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA

ONLINE: Free signs are available at www.mainepreventionstore.org Check the Maryland Department of Health, Maryland Responsible Tobacco Retailer Program website for the required sign, and how to obtain it

Empty paper flip top cigarette packaging is commonly used where product integrity and consistent box alignment are operational requirements