Hair Staining as a Sign of Clandestine Smoking ByHenry Schneiderman, MD,Jeffrey M. Kagan, MDNovember 1st 2006A 78-year-old woman requests evaluation of worsening dyspnea. A long-time smoker, she quit when chronic obstructive pulmonary disease (COPD) developed. At each of the last several visits, her hair had been uniformly white.