A rugged actor with a prematurely lined face and raspy voice expounds on the virtues of regaining our freedom. A flaxen-haired actress waxes poetic on the sex appeal of puffing up in a bar. These are not images pulled from the archives of the golden age of television, when advertising tobacco products on the airwaves was unregulated, but rather from a new, and relatively unregulated, chapter in the saga of nicotine-containing products: electronic cigarettes.1 Electronic cigarettes, or "e-cigarettes," have been on the market since 2007 and are catapulting into the mainstream. As their popularity skyrockets, however, so too does the need for product and marketing regulations at the federal level and sales restrictions to minors at the state and local levels.

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Editor: Antonio Torrelo MDA 2-month-old Hispanic girl presented to the pediatric dermatology clinic for evaluation of a congenital sacral mass referred to as an infantile hemangioma (IH). The entire lesion was present at birth and had not grown since that time.The mass was asymptomatic and it had not bled, ulcerated, drained any fluid, or become infected. The infant's mother thought she had normal and equal strength in her legs and that she could urinate and defecate normally. The baby was born prematurely, at 34 weeks gestational age, secondary to premature labor. Her mother received routine prenatal care and there were no concerns during the pregnancy, with no abnormalities noted on prenatal ultrasound. Family history was significant for a 5-year-old brother with Fraser syndrome. At an outside neonatal intensive care unit, a spinal radiograph on the first day of life showed no bony abnormalities; a subsequent ultrasound demonstrated several hypoechoic foci with no significant color flow. The baby was discharged with a referral to the dermatology clinic for further management.On physical examination, a 7-cm 9 6-cm slightly firm mass was noted on the left medial buttock. The lesion crossed the midline, causing deviation of the gluteal cleft. The overlying skin was erythematous to violaceous, with central hypertrichosis (Figure 1). No ulceration was noted and the lesion was not tender to palpation. She had normal bilateral lower extremity strength and tone and her anal tone appeared normal. Magnetic resonance imaging (MRI) of the pelvis was obtained (Figure 2), followed by surgical removal of the mass and review of histopathology (Figures 3 and 4).

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