E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists

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 n...

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Autores principales:	Carmine Guarino, Ilaria Pedicelli, Francesco Perna, Valentina Di Spirito, Giuseppe Fiorentino, Fabio Procaccini, Gaetano Rea
Formato:	article
Lenguaje:	EN
Publicado:	PAGEPress Publications 2021
Materias:	E-cigarette EVALI organizing pneumonia exogenous lipoid pneumonia lipid laden macrophages Medicine R
Acceso en línea:	https://doaj.org/article/4acb303c2f6841c7a2c82c6650fba809
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spelling	oai:doaj.org-article:4acb303c2f6841c7a2c82c6650fba8092021-12-04T07:48:22ZE-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists10.4081/monaldi.2021.19621122-06432532-5264https://doaj.org/article/4acb303c2f6841c7a2c82c6650fba8092021-12-01T00:00:00Zhttps://www.monaldi-archives.org/index.php/macd/article/view/1962https://doaj.org/toc/1122-0643https://doaj.org/toc/2532-5264 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. Carmine GuarinoIlaria PedicelliFrancesco PernaValentina Di SpiritoGiuseppe FiorentinoFabio ProcacciniGaetano ReaPAGEPress PublicationsarticleE-cigaretteEVALIorganizing pneumoniaexogenous lipoid pneumonialipid laden macrophagesMedicineRENMonaldi Archives for Chest Disease (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	E-cigarette EVALI organizing pneumonia exogenous lipoid pneumonia lipid laden macrophages Medicine R
spellingShingle	E-cigarette EVALI organizing pneumonia exogenous lipoid pneumonia lipid laden macrophages Medicine R Carmine Guarino Ilaria Pedicelli Francesco Perna Valentina Di Spirito Giuseppe Fiorentino Fabio Procaccini Gaetano Rea E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
description	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.
format	article
author	Carmine Guarino Ilaria Pedicelli Francesco Perna Valentina Di Spirito Giuseppe Fiorentino Fabio Procaccini Gaetano Rea
author_facet	Carmine Guarino Ilaria Pedicelli Francesco Perna Valentina Di Spirito Giuseppe Fiorentino Fabio Procaccini Gaetano Rea
author_sort	Carmine Guarino
title	E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
title_short	E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
title_full	E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
title_fullStr	E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
title_full_unstemmed	E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists
title_sort	e-cigarette, or vaping, product use associated lung injury (evali): new scenarios for physicians and radiologists
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/4acb303c2f6841c7a2c82c6650fba809
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E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists

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