Cause is unknown, but studies point to excessive ATM, and cum facials.
Mostly hits the demographic of middle aged men (30-50) who frequent dive strip bars. Side Effect are but not limited to: Bad Breath (duh), Crack head like lessions on face and upper body, pealing lips and discolored whites of eyes -(too much poo in the cum shot)
Moral of the story is strippers are gross... and bad for your health. Chronic Gonacockeye is NO JOKE