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Some of those additives have health risks, similar to diacetyl, which has a buttery taste. Diacetyl has been found to cause a severe lung disease just like bronchiolitis. E-cigarettes can look like common cigarettes, pipes, or cigars. They may also resemble glossy digital devices, making them appealing to younger users. E-cigarettes hit the market within the early 2000s and have since soared in recognition, particularly amongst teens and young adults.