Persistent Severe Fixed Airways Obstruction in a High-Dosing E-cigarette User
| Autor: | Silpa D. Krefft, Cecile S. Rose, Tony V Macedonia |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Clinical Practice: Clinical Vignettes Lung biopsy Electronic Nicotine Delivery Systems 01 natural sciences 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine Humans 030212 general & internal medicine Dosing 0101 mathematics E-cigarette user Young adult Intensive care medicine Inhalation business.industry Vaping 010102 general mathematics Tobacco Products Middle Aged medicine.disease United States Nicotine delivery Bronchiolitis Smoking cessation Smoking Cessation business |
| Zdroj: | J Gen Intern Med |
| ISSN: | 1525-1497 0884-8734 |
| DOI: | 10.1007/s11606-019-05462-0 |
| Popis: | Electronic Nicotine Delivery Systems (ENDS), commonly referred to as “e-cigs,” were first introduced in the United States in 2007. Since then, their use has grown substantially, with the largest market among adolescents and young adults. ENDS are often perceived by the public as safe alternatives to traditional cigarettes and as aids in smoking cessation. Little is known about inhalational hazards of e-cigs. We describe the case of a 45-year-old man who developed acute respiratory symptoms associated with onset of severe fixed airways obstruction 9 months after he quit traditional cigarettes and began high-dose vaping. Lung biopsy showed respiratory bronchiolitis. Analysis of his heated e-cigarette solution identified a mixture containing vanillin, aldehydes, alcohols and other chemicals, the inhalation effects of which have not been well-studied. This case report adds to the growing literature describing potentially severe lung health effects of vaping and provides a framework for taking a clinical vaping history so that the health consequences of e-cigarettes may be better understood. |
| Databáze: | OpenAIRE |
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