One hundred and sixty-three community volunteers were interviewed and examined. After a decade, the 69 survivors were again interviewed and examined. The incidences of their skin changes and lesions were recorded and interrelationships sought relative to internal and external signs of aging. Asteatosis of moderate or severe degree, large numbers of scrotal angiomas in men, and retention of nevi appeared to be associated with a relatively shortened life expectancy and may be signs of decline and approaching death in older individuals.