Perioral wrinkles are associated with female gender, aging, and smoking: Development of a gender-specific photonumeric scale.

Background: Perioral wrinkling is commonly reported among older adults, but its objective evaluation and causes remain poorly understood.

Objective: We sought to develop a photonumeric scale for perioral wrinkling and to elucidate contributory lifestyle factors.

Methods: In this cross-sectional study, we recruited participants for facial photographs and a survey.

Intralymphatic histiocytosis following placement of a metal implant.

Intralymphatic histiocytosis (IH) is a rare condition first reported in 1994 by O'Grady et al. Less than 40 cases have been reported, with the majority occurring in patients with rheumatoid arthritis. We present a case of a 72-year-old man who developed an asymptomatic rash on his left upper arm 3 years after placement of a metal implant to stabilize a fractured humerus.