Nisha Nair
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
Authors
Matthew Hurley
Simon Gates
Patrick Davies
I. Ling Chen
Ian Todd
LUCY FAIRCLOUGH LUCY.FAIRCLOUGH@NOTTINGHAM.AC.UK
Professor of Immunology
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 |
Files
HP To Vaping Submitted FINAL
(548 Kb)
PDF
You might also like
Extracellular vesicles and chronic obstructive pulmonary disease (COPD): a systematic review
(2022)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: digital-library-support@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search