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Life-threatening hypersensitivity pneumonitis secondary to e-cigarettes
- Source :
- Archives of disease in childhood. 105(11)
- Publication Year :
- 2019
-
Abstract
- We report a case of hypersensitivity pneumonitis (HP) in a young person secondary to vaping. He presented with a putative diagnosis of asthma and required extracorporeal membrane oxygenationbecause of intractable respiratory failure. He developed a critical illness and steroid myopathy and required prolonged rehabilitation. Our patient fulfils diagnostic criteria for HP secondary to e-cigarettes with a positive exposure history, deterioration after skin prick testing, specific serum IgM antibodies against the implicated liquid raising the possibility that the relevant antigen was present in that liquid and radiological and histopathological features compatible with acute HP. There are two learning points. The first is always to consider a reaction to e-cigarettes in someone presenting with an atypical respiratory illness. The second is that we consider e-cigarettes as ‘much safer than tobacco’ at our peril.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Igm antibody
medicine.medical_treatment
Electronic Nicotine Delivery Systems
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Extracorporeal membrane oxygenation
medicine
Humans
Asthma
business.industry
Vaping
medicine.disease
Dermatology
Respiratory failure
Pediatrics, Perinatology and Child Health
Critical illness
Acute Disease
business
Tomography, X-Ray Computed
Young person
Hypersensitivity pneumonitis
Steroid Myopathy
Alveolitis, Extrinsic Allergic
Subjects
Details
- ISSN :
- 14682044
- Volume :
- 105
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Archives of disease in childhood
- Accession number :
- edsair.doi.dedup.....c3b6d7e4e505868ee168f634aec4655d