2019年11月22日 星期五

電子煙和爆米花工作者肺

新的名詞

Canada May Have Found New Vaping Complication: Popcorn worker’s lung

Life-threatening bronchiolitis related to electronic cigarette use in a Canadian youth
Cite as: CMAJ 2019;191. doi: 10.1503/cmaj.191402; early-released November 21, 2019

爆米花工廠員工之前曾被報導因吸入奶油和香料添加劑加熱氣化後的diacetyl,而引起bronchiolitis obliterans,而稱之popcorn worker's lung,這次vaping也引起相同的病理學現象。

和美國之前報告vaping引起alveolar injury不同,加拿大這次報告是vaping-associated bronchiolitis obliterans。

CT:diffuse centrilobular “tree-in-bud” nodularity with subpleural sparing consistent with bronchiolitis

Histological sections of a transbronchial biopsy:alveoli showed nonspecific acute inflammation and reactive changes