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Lung injury from e-cigarette use: a foul and pestilent congregation of vapours
  1. Robert Chapman1,
  2. Conor D Tweed1,2 and
  3. Ian Moonsie1
  1. 1Respiratory Medicine Department, North Middlesex University Hospital NHS Trust, London, UK
  2. 2MRC Clinical Trials Unit, UCL, London, UK
  1. Correspondence to Dr Robert Chapman; robert.chapman2{at}


A 62-year-old man presented with worsening dyspnoea, haemoptysis and reduced exercise tolerance. He was found to be hypoxaemic with bilateral basal opacification on chest imaging, but inflammatory markers, respiratory virus PCR and sputum culture demonstrated no signs of infection. The patient reported having initially mild, yet progressive, symptoms since he started vaping 14 months previously. He was treated with oxygen therapy, supportive care and cessation of vaping. Chest imaging at discharge showed marked improvement of previous bilateral opacification and the patient returned to baseline exercise tolerance, with no oxygen requirement. Vaping is becoming more common in the UK and this case demonstrates the importance of considering electronic vaping-associated lung injury in cases of non-infective lung injury.

  • radiology
  • respiratory medicine
  • pneumonia (respiratory medicine)
  • tobacco related disease
  • smoking and tobacco

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  • Contributors RC produced the initial draft of the case report. CDT reviewed the draft and made necessary changes with RC. IM conceived the idea of the report and was part of the draft and review process.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.