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Review
. 2020 Jul;35(7):2130-2135.
doi: 10.1007/s11606-020-05813-2. Epub 2020 Apr 3.

EVALI and the Pulmonary Toxicity of Electronic Cigarettes: A Review

Lydia Winnicka  1 , Mangalore Amith Shenoy  2
Affiliations
Review

EVALI and the Pulmonary Toxicity of Electronic Cigarettes: A Review

Lydia Winnicka et al. J Gen Intern Med. 2020 Jul.

Abstract

Electronic cigarettes are a novel and emerging product increasingly used by the general public. However, despite their popularity, they remain poorly studied and with likely serious health risks. EVALI, or "electronic cigarette or vaping product use-associated lung injury," is a recently described entity at the forefront of current investigations. Though EVALI has been linked to vitamin E acetate, a constituent of THC vaping products, electronic cigarettes likely pose a host of other pulmonary toxicities. The presentation, diagnostic work-up, treatment, and pathophysiology of EVALI are herein described, as well as the general pulmonary toxicity profile of electronic cigarettes.

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Conflict of interest statement

The authors declare that they do not have a conflict of interest.

Figures

Figure 1
Figure 1
Suggested diagnostic criteria of EVALI.
Figure 2
Figure 2
Radiographic feature of EVALI. AEP, acute eosinophilic pneumonia; DAD, diffuse alveolar damage; OP, organizing pneumonia; ELP, exogenous lipoid pneumonia.
Figure 3
Figure 3
Mechanisms of lung injury of electronic cigarettes.
See this image and copyright information in PMC

References

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MeSH terms