https://doi.org/10.4081/monaldi.2021.1962
E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
Submitted: June 9, 2021
Accepted: October 6, 2021
Published: December 3, 2021
Accepted: October 6, 2021
Abstract Views: 1679
PDF: 850
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
A 59-year-old female ex-smoker with 40 pack year smoking history and a 5-year current e-cigarette (EC) use history, presented with progressive dyspnea on exertion and daily cough for 2 months. A CT scan showed a consolidation area with air bronchogram in the middle lobe and non-calcific bilateral nodules, which could be attributed to community-acquired pneumonia. The patient was treated with empiric antibiotics and systemic steroids for 10 days. Infectious, neoplastic and autoimmune pathologies were excluded, whereas a broncho-alveolar lavage revealed an accumulation of lipids in the cytoplasm of the alveolar macrophages. Despite the recommendation of vaping cessation, the patient continued to use EC. A new CT exam, carried out after 18 months, showed reversed halo sign (RHS), patchy ground-glass opacity (GGO), pleuro-parenchymal bands, and indeed perilobular pattern, suggestive of organizing pneumonia (OP). The final diagnosis was E-cigarette, or vaping, product use Associated Lung Injury (EVALI)- related OP.
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How to Cite
Guarino, Carmine, Ilaria Pedicelli, Francesco Perna, Valentina Di Spirito, Giuseppe Fiorentino, Fabio Procaccini, and Gaetano Rea. 2021. “E-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI): New Scenarios for Physicians and Radiologists”. Monaldi Archives for Chest Disease 92 (3). https://doi.org/10.4081/monaldi.2021.1962.
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