With less than six weeks to go until the November 8 election, Trump made reference - without giving evidence - to a sex tape involving Machado, who had publicly denounced him all week as a humiliating bully. His attacks provided critics with new fodder to question his temperament for the White House.
"Did Crooked Hillary help disgusting (check out sex tape and past) Alicia M become a US citizen so she could use her in the debate?" Trump said in his Twitter messages in the early hours of Friday. He did not elaborate on his allegations beyond saying that the Clinton campaign was unaware of the beauty queen's past and had been "duped" by her.
At a campaign rally in Coral Springs, Florida, Clinton said the episode was evidence that "a man who can be provoked by a tweet should not have the nuclear codes". "Who gets up at 3 am in the morning to engage in a Twitter attack against a former Miss Universe? I mean he hurled as many insults as he could. Really, why does he do things like that?"
"His latest Twitter meltdown is unhinged, even for him. It proves again he is temperamentally unfit to be President of the United States," she said.
Later on Friday, BuzzFeed said Trump made an appearance in a Playboy softcore pornographic movie from 2000 that it said it had obtained from an online adult video store in New York state.
"Trump's role in the porn is relatively benign and centres around him breaking a bottle of champagne on a Playboy-branded limo while several of the playmates are visiting New York City," the online media outlet said.
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