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Although dermal hyalinosis/sclerosis is a diagnostic criterion for LS, it may be missing in early lesions.[] Similarly, keratotic plugging may be more prevalent in the lesions of shorter duration.[] However, no correlation existed between the duration of disease process and histological criteria as also reported by Marren et al .[] Inflammation primarily comprised lymphocytes and can be present in lichenoid or diffuse pattern beneath the zone of subepithelial edema

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In contrast, we speculate that multiparity, being a housewife, and age older than 30 might be life-experience barriers to smoking, since the women might have quit smoking when they were expecting their last child, and they might have outgrown their smoking identity as younger independent women as they now are stay at home caregivers