clint eastwood telangiectasis poikiloderma

Clint Eastwood (Clinton “Clint” Eastwood, Jr, born  in 1930) is an American actor. He has had a very long career playing in movies such as The Good, the Bad and the Ugly (1966). This movies along with many other Western genres imply sunexposure and more generally reflect the popularity of sunseeking behaviours.

In more recent times such as in public appearances and movies (Gran Torino, 2008), signs of cumulative photodamage can be seen.

The following features can be seen:

  • -coarse wrinkling of the face
  • poikiloderma of the face: this combines 4 features: mottled hyperpigmentation, hypopigmentation and telangiectasias (small dilated blood vessels), atrophy of the skin (giving to the affected skin a whitish appearance). The latter sign must be slight as it is not readily easy to spot in early phases.



clint eastwood

close up reveals telangiectasias

clint eastood telangiectasia close up



  • nuchae rhomboidalis (neck): rhomboid shape traced by the wrinkles in coarsely thickened skin (solar elastosis with fragmentation pf elastic fibers)



This cumulative sundamage can also be explained by:

  • -hereditary components (light skin phototype): in the Good, the Bad and the Ugly, Tuco (Eli Wallach) forces Blondie (Clint Eastwood) to walk in the desert and says: “Some say that white people can’t take too much“…correct ! (he actually gets badly sunburnt in this scene)

clint-eastwood the good bad and ugly



  • -smoking ?: not really because Clint Eastwood does NOT smoke in real life. In movie characters, he often smokes though. For your knowledge smoking 1 pack a day for 35 years (35 pack-years) induces a 5.8-times increased risk of having wrinkles than non-smokers (dioxin pathway activation)



Bibliography CLICK HERE (with permission)

Images: Wikipedia