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Skin hyperextensibility is formally defined as the stretching of the skin over a standardized cut off in 3 of the following areas: 1.5 cm for the distal part of the forearms and the dorsum of the hands and 3 cm for neck, elbows, and knees [1, 7, 16, 17]

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Vaping is inhaling a water vapor that is produced by a battery-powered electronic cigarette, or e-cigarette. The device has a cartridge of fluid, e-liquid or e-juice, which often contains nicotine and/or flavoring