Dermatologic manifestations associated with electronic cigarette use

J Am Acad Dermatol. 2019 Oct;81(4):1001-1007. doi: 10.1016/j.jaad.2019.03.088. Epub 2019 Apr 6.

Abstract

Background: Electronic cigarette use continues to rise, yet there are no reviews summarizing dermatologic manifestations associated with electronic cigarettes in the literature.

Objective: To review the literature regarding cutaneous manifestations associated with electronic cigarette use and increase awareness of side effects associated with this rapidly developing public health epidemic.

Methods: The PubMed database was searched for related literature. All studies involving the effects of electronic cigarette use on the skin or mucosa were obtained and reviewed for evidence.

Results: Contact dermatitis, thermal injuries, and oral mucosal lesions have been reported with the use of electronic cigarettes.

Limitations: The conclusions presented in individual case reports or series are not based on randomized controlled trials.

Conclusion: Electronic cigarettes can present with harmful dermatologic manifestations.

Keywords: burn injuries; contact dermatitis; electronic cigarettes; lichen planus; nicotine stomatitis; oral lesions.

Publication types

  • Review

MeSH terms

  • Burns / etiology*
  • Candidiasis, Oral / complications
  • Dermatitis, Contact / etiology*
  • Electronic Nicotine Delivery Systems* / statistics & numerical data
  • Humans
  • Hyperplasia / epidemiology
  • Hyperplasia / microbiology
  • Lichen Planus, Oral / epidemiology
  • Mouth Diseases / epidemiology*
  • Mouth Mucosa / pathology*
  • Nicotine / adverse effects
  • Prevalence
  • Stomatitis / epidemiology
  • Stomatitis / etiology
  • Tongue, Hairy / epidemiology

Substances

  • Nicotine

Supplementary concepts

  • Black hairy tongue