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Although these features cannot be reliably attributed to be caused by the disease process or treatment, the use of steroids will also be accompanied by other changes such as reduction in both epidermal and dermis thickness, loss of sebaceous glands, and subcutaneous fat loss, none of which were seen in our cases.[] LS usually shows a spectrum of vascular changes ranging from lymphocytic vasculitis to granulomatous phlebitis and leukocytoclastic vasculitis

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It is different with a conventional cigarette: it always contains tobacco and nicotine