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Life-threatening hypersensitivity pneumonitis secondary to e-cigarettes

Nair, Nisha; Hurley, Matthew; Gates, Simon; Davies, Patrick; Chen, I. Ling; Todd, Ian; Fairclough, Lucy; Bush, Andy; Bhatt, Mahendra

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Authors

Nisha Nair

Matthew Hurley

Simon Gates

Patrick Davies

I. Ling Chen

Ian Todd

Andy Bush

Mahendra Bhatt



Abstract

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. 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 oxygenation because 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.

Citation

Nair, N., Hurley, M., Gates, S., Davies, P., Chen, I. L., Todd, I., …Bhatt, M. (2020). Life-threatening hypersensitivity pneumonitis secondary to e-cigarettes. Archives of Disease in Childhood, 105(11), 1114-1116. https://doi.org/10.1136/archdischild-2019-317889

Journal Article Type Article
Acceptance Date Oct 13, 2019
Online Publication Date Nov 11, 2019
Publication Date 2020-11
Deposit Date Oct 28, 2019
Publicly Available Date Mar 28, 2024
Journal Archives of Disease in Childhood
Print ISSN 0003-9888
Electronic ISSN 1468-2044
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 105
Issue 11
Pages 1114-1116
DOI https://doi.org/10.1136/archdischild-2019-317889
Keywords General Paediatrics; Respiratory; Adolescent Health
Public URL https://nottingham-repository.worktribe.com/output/2976105
Publisher URL https://adc.bmj.com/content/early/2019/10/21/archdischild-2019-317889

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