Too Hot to Handle? When Vaporizers Explode

A 17-year-old boy presented with complaints of a burned left thumb with sensory loss, decreased motor control, and heavy bleeding (Figure 1). The patient was about to take a puff of his electronic cigarette (e-cigarette) when his electronic nicotine-delivery system (ENDS) device exploded. Radiographs of the left hand demonstrated a soft tissue defect at the level of the interphalangeal joint of the thumb, with extensive subcutaneous emphysema and streaky radiodense material infiltrating the soft tissues, presumably ENDS material (Figure 2; available at www.jpeds.com).

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