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Persistent Severe Fixed Airways Obstruction in a High-Dosing E-cigarette User.

Abstract：

: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.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Macedonia TV,Krefft SD,Rose CS

doi

10.1007/s11606-019-05462-0

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

345-349

issue

1

eissn

0884-8734

issn

1525-1497

pii

10.1007/s11606-019-05462-0

journal_volume

35

pub_type

杂志文章

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