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A few months before the COVID-19 pandemic began, e-cigarettes made the national news because there was an outbreak of over 2500 cases of E-cigarette or Vaping product use Associated Lung Injury (EVALI) reported in 50 states (Figure 1)

Again, slowing down really helps here

But when a legislature passes a large excise tax increase, the effect is immediate and dramatic

We describe a case of hairy tongue in a 65-year-old male, referred to the otorhinolaryngology consultation for presenting, with 1 month of evolution, notion of alteration of the tongue pigmentation, as well as complaints of oral discomfort and xerostomia