RT Journal Article
SR Electronic
T1 Life-threatening hypersensitivity pneumonitis secondary to e-cigarettes
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 1114
OP 1116
DO 10.1136/archdischild-2019-317889
VO 105
IS 11
A1 Nisha Nair
A1 Matthew Hurley
A1 Simon Gates
A1 Patrick Davies
A1 I-Ling Chen
A1 Ian Todd
A1 Lucy Fairclough
A1 Andrew Bush
A1 Jayesh Mahendra Bhatt
YR 2020
UL http://adc.bmj.com/content/105/11/1114.abstract
AB 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.